Operative Laparoscopy: Redefining the Limits

The continually changing definition of operative laparoscopy as well as the ever-widening boundaries of its use are discussed in this report. It is important to prepare residents to adequately undertake advanced laparoscopic surgery as laparotomy is gradually replaced by laparoscopy for many routine procedures. Since degree of training and experience strongly correlate with complication rates, more focus on laparoscopy during graduate education would be beneficial to residents in order to keep them up to date with the rapid development of this field

The Role of Laparoscopic-Assisted Myomectomy (LAM)

Laparoscopic myomectomy has recently gained wide acceptance. However, this procedure remains technically highly demanding and concerns have been raised regarding the prolonged time of anesthesia, increased blood loss, and possibly a higher risk of postoperative adhesion formation. Laparoscopic-assisted myomectomy (LAM) is advocated as a technique that may lessen these concerns regarding laparoscopic myomectomy while retaining the benefits of laparoscopic surgery, namely, short hospital stay, lower costs, and rapid recovery. By decreasing the technical demands, and thereby the operative time, LAM may be more widely offered to patients

Robotic-Assisted Laparoscopic Treatment of Bowel, Bladder, and Ureteral Endometriosis

Robotic-assisted laparoscopic repair of a vesicouterine fistula allows for a three-dimensional view of the operative filed and intricate movements necessary for complex suturing and dissection

Laparoscopic Management of Bowel Endometriosis: Predictors of Severe Disease and Recurrence

This study suggests that laparoscopic management of bowel endometriosis can be safe and effective. Two statistically significant predictors of higher stage disease were identified that showed the need for careful surgical planning