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  • Print publication year: 2008
  • Online publication date: August 2010

8 - Microlaparoscopy

from PART II - INFERTILITY EVALUATION AND TREATMENT

Summary

Microlaparoscopy offers the advantage of carrying out many diagnostic and operative gynecologic procedures in a rapid, minimally invasive approach. Proper patient selection is very important for the success of the procedure. Microlaparoscopy could be performed either with general anesthesia or with local anesthesia under conscious sedation, which is a state of depressed consciousness allowing communication with the patient during the procedure. An umbilical incision is made (a local anesthetic block is done first in a case of conscious sedation) through which the interlocking trocar with the Verres needle is introduced to the abdomen. Most of the patients can leave the office within one hour of the procedure. Microlaparoscopy is currently used for infertility assessment, surgical management of endometriosis, lysis of pelvic adhesions, ovarian drilling, gamete intrafallopian transfer, tubal embryo transfer, hydrosalpinx removal before in vitro fertilization (IVF), and management of ectopic and heterotopic pregnancy.
REFERENCES
Belt, AE, Charnock, DA. The history of the cystoscope. In Cabol, H, ed., Modern Urology. Philadelphia: Lea and Febiger, 1936; pp. 15–50.
Jacobaeus, HC. Uber die Moglichkeit die Zystoskopie bei Untersuchung seroser Hohlungen anzuwenden. Munch Med Wochenschr 1910;57:2090–2.
Nitze, M. Uber eine neue Beleuchtungsmethode der Hohlen des menschlichen Korpers. Wien Med Presse 1879;20:851–8.
Fevers, C. Die laparoskopie mit dem cystoskop: ein beitrag zur vereinfachng der technik und zur endoskopischen Strangdurtrennung in der Bauchhohle. Med Klin 1933;29:1042–5.
Palmer, R. Instrumentation et technique de la coelioscopie gynecologique. Gynecol Obstet 1947;46:420–31.
Klein, R, Palmer, R. Technique de prelevement ovules humaines par ponction folliculaire sans coelioscopie. C R Soc Biol (Paris) 1961;155:1918–21.
Semm, K. Atlas of gynecologic laparoscopy and hysteroscopy. Philidelphia: Saunders, 1977.
Palter, SF. Microlaparoscopy under local anesthesia and conscious pain mapping for the diagnosis and management of pelvic pain. Curr Opin Obstet Gynecol 1999;11(4):387–93.
Dorsey, JH, Tabb, CR. Mini-laparoscopy and fiber-optic lasers. Obstet Gynecol Clin North Am 1991;18(3):613–17.
Palter, SF. Office microlaparoscopy under local anesthesia. Obstet Gynecol Clin North Am 1999;26(1):109–20, vii.
Childers, JM, Hatch, KD, Surwit, EA. Office laparoscopy and biopsy for evaluation of patients with intraperitoneal carcinomatosis using a new optical catheter. Gynecol Oncol 1992;47(3): 337–42.
Risquez, F, Pennehouat, G, Fernandez, R, Confino, E, Rodriguez, O. Microlaparoscopy: a preliminary report. Hum Reprod 1993; 8(10):1701–2.
Bauer, O, Devroey, P, Wisanto, A, Gerling, W, Kaisi, M, Diedrich, K. Small diameter laparoscopy using a microlaparoscope. Hum Reprod 1995;10(6):1461–4.
Risquez, F, Pennehoaut, G, McCorvey, R, Love, B, Vazquez, A, Partamian, J, Rebon, P, Lucena, E, Audebert, A, Confino, E. Diagnostic and operative microlaparoscopy: a preliminary multicentre report. Hum Reprod 1997;12(8):1645–8.
Tulandi, T. Modern surgical approaches to female reproductive tract. Hum Reprod Update 1996;2:419–27.
Almeida, OD, Val-Gallas, JM. Conscious pain mapping. J Am Assoc Gynecol Laparosc 1997;4(5):587–90.
Howard, FM, El-Minawi, AM, Sanchez, RA. Conscious pain mapping by laparoscopy in women with chronic pelvic pain. Obstet Gynecol 2000;96(6):934–9.
Almeida, OD, Val-Gallas, JM. Office microlaparoscopy under local anesthesia in the diagnosis and treatment of chronic pelvic pain. J Am Assoc Gynecol Laparosc 1998;5(4):407–10.
Palter, SF, Olive, DL. Office microlaparoscopy under local anesthesia for chronic pelvic pain. J Am Assoc Gynecol Laparosc 1996;3(3):359–64.
Almeida, OD, Val-Gallas, JM, Browning, JL. A protocol for conscious sedation in microlaparoscopy. J Am Assoc Gynecol Laparosc 1997;4(5):591–4.
Ikeda, F, Abrão, MS, Podgaec, S, Nogueira, AP, Neme, RM, Pinotti, JA. Microlaparoscopy in gynecology: analysis of 16 cases and review of literature. Rev Hosp Clin Fac Med Sao Paulo 2001; 56(4):115–18.
Almeida, OD, Val-Gallas, JM, Rizk, B. Appendectomy under local anaesthesia following conscious pain mapping with microlaparoscopy. Hum Reprod 1998;13(3):588–90.
Corson, SL, Cheng, A, Gutmann, JN. Laparoscopy in the “normal” infertile patient: a question revisited. J Am Assoc Gynecol Laparosc 2000;7(3):317–24.
Tanahatoe, S, Hompes, PG, Lambalk, CB. Accuracy of diagnostic laparoscopy in the infertility work-up before intrauterine insemination. Fertil Steril 2003;79:361–6.
Surrey, ES. Endoscopy in the evaluation of the woman experiencing infertility. Clin Obstet Gynecol 2000;43(4):889–96.
Tulandi, T, Murray, C, Guralnick, M. Adhesion formations and reproductive outcome after myomectomy and second-look laparoscopy. Obstet Gynecol 1993;82:213–15.
Pagidas, K, Tulandi, T. Effects of Ringer's lactate, Interceed (TC&) and Gene-Tex surgical membrane or postsurgical adhesion formation. Fertil Steril 1992;57:199–201.
Zeyneloglu, HB, Arici, A, Olive, DL. Adverse effects of hydrosalpinx on pregnancy rates after in vitro fertilization-embryo transfer. Fertil Steril 1998;70:492.
Spielvogel, K, Shwayder, J, Coddington, CC. Surgical management of adhesions, endometriosis, and tubal pathology in the woman with infertility. Clin Obstet Gynecol 2000;43(4):916–28.
Shelton, KE, Butler, L, Toner, JP, Oehninger, S, Muasher, SJ. Salpingectomy improves the pregnancy rate in in-vitro fertilization with hydrosalpinx. Hum Reprod 1996;11:523–5.
Johnson, NP, Mak, W, Sowter, MC. Laparoscopic salpingectomy for women with hydrosalpinges enhances the success of IVF: a Cochrane review. Hum Reprod 2002;17:543.
Practice Committee of the American Society for Reproductive Medicine. Salpingectomy for hydrosalpinx prior to in vitro fertilization. Fertil Steril 2006;86 (Suppl. 5):S200–1.
National Institute of Clinical Excellence. Fertility: assessment and treatment of people with fertility problems, Clinical guidelines No. 11. London: Abba Litho Ltd UK, 2004.
Spielvogel, K, Shwayder, J, Coddington, CC. Surgical management of adhesions, endometriosis, and tubal pathology in the woman with infertility. Clin Obstet Gynecol 2000;43(4):916–28.
Nezhat, C, Crowgey, SR, Garrison, CP. Surgical treatment of endometriosis via laser laparoscopy. Fertil Steril 1986;45(6):778–83.
Kennedy, S, Bergqvist, A, Chapron, C, D'Hooghe, T, Dunselman, G, Greb, R, Hummelshoj, L, Prentice, A, Saridogan, E; on behalf of the ESHRE Special Interest Group for Endometriosis and endometrium Guideline Development Group. ESHRE guideline for the diagnosis and treatment of endometriosis. Hum Reprod 2005;20(10):2698–704.
Unlu, C, Atabekoglu, CS. Surgical treatment in polycystic ovary syndrome. Curr Opin Obstet Gynecol 2006;18(3):286–92.
Farquhar, C, Lilford, RJ, Marjoribanks, J, Vandekerckhove, P. Laparoscopic “drilling” by diathermy or laser for ovulation induction in anovulatory polycystic ovary syndrome. Cochrane Database Syst Rev 2005;(3):CD001122.
Rizk, B, Nawar, MG. Laparoscopic ovarian drilling for ovulation induction in polycystic ovarian syndrome. In Allahbadia, G (Ed.) Manual of ovulation Induction. Mumbai: India, Rotunda Medical Technologies, 2001, chapter 18, 140–4.
Rizk, B. Prevention of ovarian hyperstimulation syndrome. In Rizk, B (Ed.) Ovarian hyperstimulation syndrome. Cambridge: United Kingdom, Cambridge University Press, 2006, chapter 7, 130–99.