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Gynecologic Laparoscopy

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Clinical Reproductive Medicine and Surgery

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Abstract

Laparoscopy is one of the most important surgical tools available to the gynecologist and is the surgical approach of choice for a variety of intra-abdominal problems. Knowledge and judgment are required to understand which conditions should and should not be approached laparoscopically. Careful technique will minimize, but not completely prevent, the risk of laparoscopic complications. It is critical to change the angle of insertion, the site of entry, and at times the entry technique according to the body habitus and previous surgical history. The major advantage of laparoscopy is decreased discomfort and disability for the patient. In many cases, cost is decreased as well. Major disadvantages of laparoscopy include an increased risk of bladder and ureter injury during hysterectomy and the uncertain effect on the prognosis of gynecologic malignancies. Robotic surgery and laparoendoscopic single-site surgeries are gaining ground; however, their long-term outcomes need to be substantiated.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University of British Columbia, Vancauver, BC, Canada

    Mohamed A. Bedaiwy MD, PhD, FACOG (Professor and Division head of Reproductive Endocrinology)

  2. Department of Obstetrics and Gynecology, University of Utah Hospitals and Clinics, Salt Lake City, UT, USA

    Howard T. Sharp MD

  3. Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA

    Tommaso Falcone MD

  4. Department of Obstetrics and Gynecology, Duke University Medical Center, Duke University School of Medicine, Durham, NC, 27705, USA

    William W. Hurd MD, MSc, MPH

Authors
  1. Mohamed A. Bedaiwy MD, PhD, FACOG
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  2. Howard T. Sharp MD
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  3. Tommaso Falcone MD
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  4. William W. Hurd MD, MSc, MPH
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Corresponding author

Correspondence to Mohamed A. Bedaiwy MD, PhD, FACOG .

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Editors and Affiliations

  1. Cleveland Clinic, Ob/Gyn & Women's Health Institute, Euclid Ave 9500, Cleveland, 44195, Ohio, USA

    Tommaso Falcone

  2. Duke University Medical Center, Duke University School of Medicine, Department of Obstetrics and Gynecology, Erwin Rd 2301, Durham, 27705, North Carolina, USA

    William W. Hurd

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Bedaiwy, M.A., Sharp, H.T., Falcone, T., Hurd, W.W. (2013). Gynecologic Laparoscopy. In: Falcone, T., Hurd, W. (eds) Clinical Reproductive Medicine and Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6837-0_17

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