Endometriosis pp 201-206 | Cite as

Laparoscopy Versus Laparotomy in the Treatment of Endometriosis

  • Guomundur Arason
  • Anthony A. Luciano


Although the term endometriosis was first introduced in Sampson’s classic publication in 1921, much about this disease remains uncertain.1 Prevalence, etiology, and pathogenesis are still speculative and symptoms are varied. Although pelvic pain and infertility are the predominant presenting problems, endometriosis frequently produces no symptoms. It is diagnosed in more than 10% of fertile women undergoing sterilization procedures.2 Since the basic knowledge of its pathophysiology is lacking, therapy remains controversial and, in many cases, palliative. Treatment may be medical, surgical, or both. Surgery may be conservative or radical therapy, and may be performed by open laparotomy or by operative laparoscopy.


Pregnancy Rate Infertile Woman Infertile Patient Laparotomy Group Operative Laparoscopy 
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  1. 1.
    Sampson JA. Perforating hemorrhage (chocolate) cysts of the ovary: their importancee and especially their relation to pelvic adenomas of endometrial type (“adenomyoma” of the uterus, rectovaginal septum, sigmoid, etc.). Arch Surg 1921;3:245.Google Scholar
  2. 2.
    Candiani GB, Vercelli P, Fedele L, et al. Mild endometriosis infertility: a critical review of epidemiologic data, diagnostic pitfalls, and classification limits. Obstet Gynecol Surv 1991;46:490.PubMedCrossRefGoogle Scholar
  3. 3.
    Cook AS, Rock JA. Role of laparoscopy in the treatment of endometriosis. Fertil Steril 1991;4:663.Google Scholar
  4. 4.
    Nezhat C, Crowgey S, Garrison CP. Surgical treatment of endometriosis via laser laparoscopy. Fertil Steril 1986;45: 778–83.PubMedGoogle Scholar
  5. 5.
    Redwine DB. The distribution of endometriosis in the pelvis by age groups and fertility. Fertil Steril 1987;47: 173.PubMedGoogle Scholar
  6. 6.
    Ballweg ML. Endometriosis: the patient’s perspective. Infertil Reprod Med Clin North America, Olive DL (Guest Editor), 1992;3(3):747.Google Scholar
  7. 7.
    Luciano AA, Pitkin RM. Endometriosis, approaches to diagnosis and treatment. Surgery Annual 1984 (Lloyd M. Nyhus, ed.), Norwalk, CT, Appleton-Century-Crofts, 1984, pp 297–312.Google Scholar
  8. 8.
    Redwine DB. Treatment of endometriosis-associated pain. Infertil Reprod Med Clin North America, Olive DL (Guest Editor), 1992;3(3):697.Google Scholar
  9. 9.
    Metzger DA, Olive DL, Haney AF. Limited hormonal responsiveness of ectopic endometrium: histologic correlation with intrauterine endometrium. Hum Pathol 1988;19:1417.PubMedCrossRefGoogle Scholar
  10. 10.
    Olive DL. Future directions for endometriosis research. Infertil Reprod Med Clin North America, Olive DL (Guest Editor), 1992;3(3):763.Google Scholar
  11. 11.
    Schenken SR, Malinack RL. Reoperation after initial treatment of endometriosis with conservative surgery. Am J Obstet Gynecol 1978;131:416.PubMedGoogle Scholar
  12. 12.
    Tjaden B, Schlaff WD, Kimball A. The efficacy of presacral neurectomy for the relief of midline dysmenorrhea. Obstet Gynecol 1990;76:89.PubMedGoogle Scholar
  13. 13.
    Nezhat C, Nezhat F. A simplified method of laparoscopic presacral neurectomy for the treatment of central pain due to endometriosis. Brit J Obstet Gynecol 1992;99:659.CrossRefGoogle Scholar
  14. 14.
    Redwine DB. Conservative laparoscopic excision of endometriosis by sharp dissection: life table analysis of reoperation and persistent or recurrent disease. Fertil Steril 1991;56:628.PubMedGoogle Scholar
  15. 15.
    Wheeler JM, Malinak LR. Recurrent endometriosis. Contrib Gynecol Obstet 1987;16:13.PubMedGoogle Scholar
  16. 16.
    Olive DL, Haney AF. Endometriosis associated infertility: a critical review of therapeutic approaches. Obstetrical and Gynecological Survey 1986;41:538.PubMedCrossRefGoogle Scholar
  17. 17.
    Strathy JH, Molgaard CA, Coulam CB, et al. Endometriosis and infertility: a laparoscopic study of endometriosis among fertile and infertile women. Fertil Steril 1982;38:667.PubMedGoogle Scholar
  18. 18.
    Jensen RPS. Minimal endometriosis and reduced fecundabililty: Prospective evidence from an artificial insemination by donor program. Fertil Steril 1987;47:40.Google Scholar
  19. 19.
    Adamson DG, Subak LL, Pasta DJ, et al. Comparison of CO2 laser laparoscopy with laparotomy for the treatment of endometriomata. Fertil Steril 1992;57:965.PubMedGoogle Scholar
  20. 20.
    Nezhat C, Crowgey S, Nezhat F. Videolaseroscopy for the treatment of endometriosis associated infertility. Fertil Steril 1989;51:23.Google Scholar
  21. 21.
    Martin DC. CO2 laser laparoscopy for the treatment of endometriosis associated with infertility. J Reprod Med 1985;30:409.PubMedGoogle Scholar
  22. 22.
    Dlugi AM, Saleh WA, Jacobsen G. KTP/532 laser laparoscopy in the treatment of endometriosis-associated infertility. Fertil Steril 1992;57:1186.PubMedGoogle Scholar
  23. 23.
    Luciano AA, Lowney J, Jacobs SL. Endoscopic treatment of endometriosis-associated infertility: therapeutic, economic and social benefits. J Reprod Med 1992;37:573.PubMedGoogle Scholar
  24. 24.
    Muhmood TA, Templeton A. The impact of treatment on the natural history of endometriosis. Hum Reprod 1990; 5:965.Google Scholar
  25. 25.
    Luciano AA, Metzger DA. Endometriosis—What can medical therapy offer? Brit J Clin Practice Suppl 72, 1991; 45:14.Google Scholar
  26. 26.
    Buttram VC. Conservative surgery for endometriosis in the infertile female: a study of 206 patients with implications for both medical and surgical therapy. Fertil Steril 1979;31:117.PubMedGoogle Scholar
  27. 27.
    Hammond CB, Rock JA, Parker RT. Conservative treatment of endometriosis: the effects of limited surgery and hormonal pseudopregnancy. Fertil Steril 1976;27:756.PubMedGoogle Scholar
  28. 28.
    Leridon H, Spira A. Problems in measuring the effectiveness of infertility therapy. Fertil Steril 1989;41:58.Google Scholar
  29. 29.
    Wilcox AJ, Weinberg CR, O’Connor JF, et al. Incidence of early pregnancy loss. N Engl J Med 1988;319:189.PubMedCrossRefGoogle Scholar
  30. 30.
    Olive D, Martin D. Treatment of endometriosis-associated infertility with CO2 laser laparoscopy: the use of one- and two-parameter exponential models. Fertil Steril 1987; 48:18.PubMedGoogle Scholar
  31. 31.
    Fayes JA, Collazo LM. Comparison between laparotomy and operative laparoscopy in the treatment of moderate and severe endometriosis. Int J Fertil 1990;35:272.Google Scholar
  32. 32.
    Chong AP, Luciano AA, O’Shaughnessy AM. Laser laparoscopy versus laparotomy in the treatment of infertility patients with severe endometriosis. J Gynecol Surg 1990;6:179.PubMedCrossRefGoogle Scholar
  33. 33.
    Adamson GD, Hurd SJ, Pasta DJ, et al. Laparoscopic endometriosis treatment: is it better. Fertil Steril 1993; 59:35.PubMedGoogle Scholar
  34. 34.
    Levine RL. Economic impact off pelviscopic surgery. J Reprod Med 1985;30:665.Google Scholar
  35. 35.
    Brumstead J, Kessler C, Gibson C. A comparison of laparoscopy and laparotomy for the treatment of ectopic pregnancy. Obstet Gynecol 1988;71:889.Google Scholar
  36. 36.
    DeCherney AH. The leader of the band is tired. Fertil Steril 1985;44:299.PubMedGoogle Scholar
  37. 37.
    Rock JA, Guzick DS, Sengos C, et al. The conservative surgical treatment of endometriosis: Evaluation of pregnancy success with respect to the extent of disease as categorized using contemporary classification systems. Fertil Steril 1981;35:131.PubMedGoogle Scholar
  38. 38.
    Rantala ML, Kahanpaa KV, Koskimies AL, et al. Fertility prognosis after surgical treatment of pelvic endometriosis. Acta Obstet Gynecol Scand 1983;62:11.PubMedCrossRefGoogle Scholar
  39. 39.
    Gordts S, Boeckx W, Brosens I. Microsurgery of endometriosis in infertile patients. Fertil Steril 1984;42:520.PubMedGoogle Scholar
  40. 40.
    Olive DL, Lee KL. Analysis of sequential treatment protocols for endometriosis associated infertility. Am J Obstet Gynecol 1986;154:613.PubMedGoogle Scholar
  41. 41.
    Feste JR. Laser laparoscopy: a new modality. J Reprod Med 1985;30:413.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 1995

Authors and Affiliations

  • Guomundur Arason
  • Anthony A. Luciano

There are no affiliations available

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