ADVANCED LAPAROSCOPIC GYNECOLOGIC SURGERY - 06/09/11

Doi : 10.1016/S0039-6109(05)70238-3

G. Rodney Meeks, MD ^{^{*
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, Mississippi}}

Resumen

Laparoscopic sterilization was the breakthrough procedure that showed the utility of surgical laparoscopy. Next, laparoscopy made an impact on gynecologic surgery by reducing the need for laparotomy in treatment of endometriosis, pelvic adhesions, and ectopic pregnancy. The technical feasibility of performing hysterectomy with laparoscopic assistance was first shown in 1989 by Reich et al,^{38 Reich H., DeCaprio J., McGlynn F. Laparoscopic hysterectomy J Gynecol Surg 1990 ; 5 : 213-216

Haga clic aquí para ir a la sección de Referencias} who used electrocautery to perform a hysterectomy with laparoscopic assistance in a woman who had endometriosis and severe pelvic adhesions. In 1990, Nezhat et al^{28 Nezhat C., Nezhat F., Silfen S.L. Laparoscopic hysterectomy and bilateral salpingo-oophorectomy using multifire GIA surgical stapler J Gynecol Surg 1990 ; 6 : 287-288 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} described a second case of laparoscopically assisted hysterectomy but used miniaturized staples. In 1993, a laparoscopic colposuspension technique to correct urinary incontinence was described.^{22 Liu C.Y. Laparoscopic retropubic colposuspension: A review of 58 cases J Reprod Med 1993 ; 38 : 526-530

Haga clic aquí para ir a la sección de Referencias} Laparoscopic techniques to correct pelvic organ prolapse also have been described.^{19 Liu C.Y. Laparoscopic cystocele repair: Paravaginal suspension Laparoscopic Hysterectomy and Pelvic Floor Reconstruction Cambridge MA: Blackwell Science (1996).
330-340

Haga clic aquí para ir a la sección de Referencias, 23 Liu C.Y., Reich H. Correction of genital prolapse Textbook of Laparoscopy Philadelphia: WB Saunders (1998).
352-362

Haga clic aquí para ir a la sección de Referencias, 29 Nezhat C.H., Nezhat F., Nezhat C. Laparoscopic sacral colpopexy for vaginal vault prolapse Obstet Gynecol 1994 ; 142 : 901-904

Haga clic aquí para ir a la sección de Referencias, 46 Vancaille T.G., Butler D.J. Laparoscopic enterocele repair—description of a new technique Gynecol Endosc 1993 ; 2 : 211-216

Haga clic aquí para ir a la sección de Referencias}

Expansion of the types of procedures done with laparoscopic assistance has been made possible by improvements in video endoscopy. Xenon vapor bulbs, which provide excellent illumination; the three-chip camera, which separates red, green, and blue colors; and the high-definition monitor, which significantly enhances image quality, are a few of the major developments. An array of laparoscopic surgical instruments has allowed surgeons to perform ever-more sophisticated procedures endoscopically. Laparoscopy, fueled by broadened indications and refinement of surgical technique, has become the most commonly performed surgery in the United States.

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Esquema

Address reprint requests to G. Rodney Meeks, MD, Department of Obstetrics and Gynecology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216–4505, e-mail: rmeeks@ob-gyn.umsmed.edu