Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-24T22:27:04.332Z Has data issue: false hasContentIssue false

Chapter 46 - Advanced Laparoscopic Gynaecological Procedures

from Section 10 - Operative Gynaecology

Published online by Cambridge University Press:  24 November 2021

By
Jürgen Andress ,
Sabine Matovina ,
Bernhard Krämer ,
Sara Y. Brucker  and
Diethelm Wallwiener
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
Get access

Summary

Laparoscopic extensive myomectomy, hysterectomy for large myomas, laparoscopic treatment of endometriosis or treatment of cancer of the uterus are advanced laparoscopic gynaecological procedures. Since they can be very challenging, many special pre-, intra- and postoperative aspects need to be considered. This chapter aims to give insights into the different advanced laparoscopic gynaecological procedures. The preoperative arrangement, the intraoperative setting, key operative steps and the postoperative course are described in detail. An overview of common intraoperative complications like ureter injuries, bladder injuries, gastrointestinal injuries, vascular injuries and pneumoperitoneum-linked complications is given. Some typical postoperative complications like wound-healing problems, bleeding and gastrointestinal lesions are described together with possible treatment options.

Keywords

laparoscopymyomectomyhysterectomycancerlymphadenectomy
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 407 - 414
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Levy, BS. Modern management of uterine fibroids. Acta Obstet Gynecol Scand 2008;87:812–823.CrossRefGoogle ScholarPubMed
Wallwiener, D, Jonat, W, Kreienberg, R, et al. Atlas der gynäkologischen Operationen. New York: Georg Thieme Verlag, 2018.Google Scholar
Hirschelmann, A, De Wilde, RL. Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy. GMS Interdiscip Plast Reconstr Surg DGPW 2012.doi:10.3205/iprs000009.CrossRefGoogle Scholar
Tanos, V, Berry, KE, Frist, M, Campo, R, DeWilde, RL. Prevention and management of complications in laparoscopic myomectomy. Biomed Res Int 2018;2018:8250952.CrossRefGoogle ScholarPubMed
Doridot, V, Dubuisson, JB, Chapron, C, Fauconnier, A, Babaki-Fard, K. Recurrence of leiomyomata after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc 2001;8:495–500.CrossRefGoogle ScholarPubMed
Thubert, T, Foulot, H, Vinchant, M, et al. Surgical treatment: myomectomy and hysterectomy; endoscopy: a major advancement. Best Pract Res Clin Obstet Gynaecol 2016;34:104–121.CrossRefGoogle ScholarPubMed
Vilos, GA, Allaire, C, Laberge, PY, Leyland, N, Special, C. The management of uterine leiomyomas. J Obstet Gynaecol Can 2015;37:157–178.Google Scholar
Neis, KJ, Zubke, W, Romer, T, et al. indications and route of hysterectomy for benign diseases. guideline of the DGGG, OEGGG and SGGG (S3 level, AWMF Registry No. 015/070, April 2015). Geburtshilfe Frauenheilkd 2016;76:350–364.Google ScholarPubMed
Stuparich, MA, Lee, TTM. Tips and tricks for performing salpingectomy at the time of laparoscopic hysterectomy. J Minim Invasive Gynecol 2017;24:205.CrossRefGoogle ScholarPubMed
Beckmann, MW, Juhasz-Boss, I, Denschlag, D, et al. Surgical methods for the treatment of uterine fibroids: risk of uterine sarcoma and problems of morcellation. Position paper of the DGGG. Geburtshilfe Frauenheilkd 2015;75:148–164.Google Scholar
Aarts, JW, Nieboer, TE, Johnson, N, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2015;CD003677.Google ScholarPubMed
Fiaccavento, A, Landi, S, Barbieri, F, et al. Total laparoscopic hysterectomy in cases of very large uteri: a retrospective comparative study. J Minim Invasive Gynecol 2007;14:559–563.Google Scholar
Magrina, JF. Complications of laparoscopic surgery. Clin Obstet Gynecol 2002;45:469–480.Google Scholar
Bogani, G, Dowdy, SC, Cliby, WA, et al. Management of endometrial cancer: issues and controversies. Eur J Gynaecol Oncol 2016;37:6–12.Google ScholarPubMed
Leitao, MM. Current and future surgical approaches in the management of endometrial carcinoma. Future Oncol 2008;4:389–401.CrossRefGoogle ScholarPubMed
Chen, Y, Xu, H, Li, Y, et al. The outcome of laparoscopic radical hysterectomy and lymphadenectomy for cervical cancer: a prospective analysis of 295 patients. Ann Surg Oncol 2008;15:2847–2855.Google Scholar
Gil-Moreno, A, Puig, O, Perez-Benavente, MA, et al. Total laparoscopic radical hysterectomy (type II–III) with pelvic lymphadenectomy in early invasive cervical cancer. J Minim Invasive Gynecol 2005;12:113–120.Google Scholar
Amant, F, Moerman, P, Neven, P, et al. Treatment modalities in endometrial cancer. Curr Opin Oncol 2007;19:479–485.CrossRefGoogle ScholarPubMed
Landoni, F, Maneo, A, Cormio, G, et al. Class II versus class III radical hysterectomy in stage IB–IIA cervical cancer: a prospective randomized study. Gynecol Oncol 2001;80:3–12.CrossRefGoogle ScholarPubMed
Querleu, D, Cibula, D, Abu-Rustum, NR. 2017 update on the Querleu–Morrow classification of radical hysterectomy. Ann Surg Oncol 2017;24:3406–3412.Google Scholar
Matsuo, K, Machida, H, Shoupe, D, et al. Ovarian conservation and overall survival in young women with early-stage low-grade endometrial cancer. Obstet Gynecol 2016;128:761–770.Google Scholar
Chen, J, Wang, R, Zhang, B, et al. Safety of ovarian preservation in women with stage I and II cervical adenocarcinoma: a retrospective study and meta-analysis. Am J Obstet Gynecol 2016;215:460e1–e1e13.CrossRefGoogle Scholar
Boing, C, Kimmig, R [Surgical management of endometriosis: an overview]. Gynakol Geburtshilfliche Rundsch 2007;47:124–131.Google ScholarPubMed
Cao, Q, Lu, F, Feng, WW, Ding, JX, Hua, KQ. Comparison of complete and incomplete excision of deep infiltrating endometriosis. Int J Clin Exp Med 2015;8:21497–21506.Google ScholarPubMed
Taylor, MM. Endometriosis: a missed malady. AORN J 2003;77:298,301–309.CrossRefGoogle ScholarPubMed
Garry, R. The effectiveness of laparoscopic excision of endometriosis. Curr Opin Obstet Gynecol 2004;16:299–303.CrossRefGoogle ScholarPubMed
Keckstein, J. [Surgical therapy of endometriosis]. Wien Med Wochenschr 1999;149:366–371.Google ScholarPubMed
Solomayer, E-F, Juhasz-Böss, I. Kursbuch gynäkologische Endoskopie. New York: Georg Thieme Verlag, 2018.Google Scholar
Lam, A, Kaufman, Y, Khong, SY, et al. Dealing with complications in laparoscopy. Best Pract Res Clin Obstet Gynaecol 2009;23:631–646.CrossRefGoogle ScholarPubMed
Becker, CM, Gattrell, WT, Gude, K, Singh, SS. Reevaluating response and failure of medical treatment of endometriosis: a systematic review. Fertil Steril 2017;108:125–136.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×