Endometriosis Surgery

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early and accurate diagnosis of
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endometriosis may improve the quality of
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life of patients and provide a
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cost-effective and long-lasting
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treatment
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the drawback of performing a laparoscopy
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for diagnosis derives from the diversity
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of endometriosis according to the site
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of the endometrial ablation clinically
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endometriosis varies from tiny little
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endometriosis
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to large chocolate cysts or invasive
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endometriosis it is unclear whether
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subtle typical cystic or deep
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endometriosis are one or several
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diseases it is critical to investigate
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the abdominal and pelvic cavity
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thoroughly
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careful notation should be made of the
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size depth and proximity to other
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anatomic structures
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dr. Redwine discussed the use of near
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contact laparoscopy for better
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visualization of these lesions the
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magnification of the laparoscope and
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high-definition video monitoring systems
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are useful in increasing the resolution
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of lesions this technique improves
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endometriosis detection near contact
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laparoscopy allows for a clearer
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visualization of the endometrial ik
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lesions on the uterus sacral ligaments
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as seen here three considerations when
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conducting a laparoscopy for
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endometriosis peritoneal fluid
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peritoneal appearance location
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peritoneal fluid studies of macrophages
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peritoneal fluid lysozyme activity and
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endometrial epithelial cells suggest
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that these are related to infertility
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endometriosis peritoneal fluid can be
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bloody zero sanguinis or dark and brown
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consistent with old blood here is an
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example of zero sanguinis paired to neo
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fluid
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here is an example of dark brown fluid
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consistent with old blood
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endometriosis of the perineum can have
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many different appearances there’s the
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classic black powder burn lesion of
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endometriosis red lesions brown lesions
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clear or atypical endometriosis lesions
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peritoneal windows hyper vascularity
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scarring most gynecologists easily
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recognized powder burn or black lesions
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as endometriosis yet non-pigmented or
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subtle implants that are vesicular red
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white or peritoneal defects may also be
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endometriosis endometriosis by location
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in terms of genital endometriosis the
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euro sacral ligaments are the most
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common sites of endometriosis
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endometriosis can also be seen on the
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vagina uterus fallopian tubes and
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ovaries extra genital endometriosis is
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also possible you can find endometriosis
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in the GI tract the urinary tract
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superficially on the skin or on the
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diaphragm here is an example of
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endometriosis of the vagina
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an endometrial ik lesion can be seen on
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the round ligament endometriosis above
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the ureter uterine endometriosis
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touble endometriosis
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superficial endometriosis on the ovary
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an endometrium ah within the ovary
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endometriosis on the interior called the
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sacks endometriosis on the euro sacral
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ligament posterior called sack
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endometriosis
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an obliterated posterior cul-de-sac due
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to severe endometriosis
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another example of an obliterated
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cul-de-sac due to endometriosis bowel
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adhesions due to endometriosis
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endometriosis on the diaphragm
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cesarean scar endometriosis
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identifying all endometrial occlusions
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is paramount to optimal resection of
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endometriosis the gold standard of a
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diagnosis of endometriosis is
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laparoscopy was the visualization of
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endometrial deposits on the peritoneum
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and visceral organs endometriosis of
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peritoneal fluid which is related to
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infertility can be bloody zero sanguinis
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or dark and brown consistent with old
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blood endometriosis has multiple
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appearances and the lesions may be
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confused with non endometriosis at
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laparoscopy a detailed description of
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the disease should be noted including
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the extent type and sight of the enemy
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traffic lesions