By A. darwish
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Extra info for Advanced Gynecologic Endoscopy
Laparoscopy can be safely managed in pregnant women before the 23rd week of pregnancy provided by that hypercapnia is prevented. The open laparoscopy approach should be considered to avoid damaging the uterus. Gasless laparoscopy may be helpful to reduce pathopysiologic changes induced by CO2 pneumoperitoneum but unfortunately increases technical difficulty. Laparoscopy results in multiple postoperative benefits allowing for quicker recovery and shorter hospital stay. These advantages explain the increasing success of laparoscopy, which is proposed for many surgical procedures.
Myomectomy Laparoscopic myomectomy constitutes a satisfying solution especially for women who wish to maintain fertility potential. The technique looks similar to laparotomy and is used in cases of myomas larger than 5 cm. Pedunculated uterine myomata usually are removed safely with either electrosurgery or harmonic scalpel. The removal of subserosal and intramural fibroids seem to be more challenging and requires surgical skills . The uterine incision is performed with electrosurgery and the myoma capsule is dissected in its entirety.
Hemodynamic changes and catecholamine release during laparoscopic adrenalectomy for pheochromocytoma. Anesthesia and Analgesia. 1999; 88:16-21. Kaplan MB, Rogers R. Laparoscopic Surgery: A View From the Head of the Table. Seminars in Laparoscopic Surgery. 1994 Dec; 1(4):207-210. Lew JK, Gin T, Oh TE. Anaesthetic problems during laparoscopic cholecystectomy. Anaesthesia and Intensive Care. 1992 Feb; 20(1):91-2. Llagostera-Pujol S, Dilme-Muñoz J, Yeste-Campos M, Escudero-Rodríguez JR & ViverManresa E.
Advanced Gynecologic Endoscopy by A. darwish