The objective of this paper is to discuss the current guidelines for treatment of endometriosis, emphasis on the role of laparoscopic surgery and medical treatment. The accuracy of diagnosis of endometriosis without laparoscopy is very low, as a false negative rate of 19 % and a false positive rate of 44 %, when a diagnosis was made pre laparoscopy, 81 % had the diagnosis can confirmed on lapar...

Single-port laparoscopy attempts to further reduce the surgical impact of minimally invasive surgery when compared to conventional laparoscopy [1–4]. Single-port laparoscopy might in general result in enhanced cosmetic outcomes and potentially reduced pain when compared to the conventional multi-port technique [5–8]. While manual single-port laparoscopy comes with certain technical limitations ...

Regarding the false negative results of culdocentesis, it is believed that the protocol of B-hCG, sonography, D&C and free use of laparoscopy gives more reliable information to the physician than the protocol of B-hCG, sonography and culdocentesis. We used the former protocol on 50 patients suspected of having ectopic pregnancy. The most common diagnoses were EP (48%) and PID (16%), respec...

BACKGROUND Laparoscopic suturing is a difficult skill to master but can be acquired with extensive training outside the operating room. This study was done with the primary aim of assessing whether prior exposure to laparoscopic surgery helped trainees in acquiring laparoscopic suturing skills more quickly than trainees with no prior exposure to laparoscopic surgery. MATERIALS AND METHODS Twe...

Background: Diagnosis of abdominal tuberculosis is difficult as well as its Histopathological confirmation because of suboptimal, noninvasive access to the intraperitoneal pathology. Laparoscopy provides minimally invasive access to the peritoneum. AIM: The aim is to analyze our experience with diagnostic laparoscopy in diagnosis of abdominal tuberculosis and to review the literature for the ro...

BACKGROUND AND OBJECTIVE The aim of this study is to evaluate the prevalence of intraabdominal adhesions to the umbilicus following gynecologic laparoscopy through an umbilical incision. METHODS A retrospective review was performed of all gynecologic laparoscopic procedures in a private practice setting to identify patients with a repeat laparoscopy who had a history of a previous laparoscopy...

OBJECTIVE To determine the effect of body mass index on postoperative complications and the performance of lymph node dissection in women undergoing laparoscopy or laparotomy for endometrial cancer. METHODS Retrospective chart review of all patients undergoing surgery for endometrial cancer between 8/2004 and 12/2008. Complications graded and analyzed using Common Toxicity Criteria for Advers...

BACKGROUND Bowel injury is a rare but serious complication of laparoscopic surgery. This review examines the incidence, location, time of diagnosis, causative instruments, management and mortality of laparoscopy-induced bowel injury. METHODS The review was carried out using the MeSH browser within PubMed. The keywords used were 'laparoscopy/adverse effects' and 'bowel perforation'. Additional...

BACKGROUND Ventriculoperitoneal shunts and distal shunt revisions bear a high risk of distal malfunction, especially in patients with previous abdominal pathologies as well as in obese patients. We performed laparoscopy-guided distal shunt placement or revision for patients with and without a positive abdominal history. We review the indications, techniques, complications, and long-term outcome...

Aim: Compare the efficacy of laparoscopic versus laparotomy approach in women with early stage endometrial adenocarcinoma. Methods: Case control retrospective study of 226 women treated of early endometrial cancer. 79 patients in the laparoscopy group and 147 in the laparotomy group. Variables analyzed in both groups were patient age, body mass index, duration of follow-up, FIGO 2009 surgical s...