Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness
Identifieur interne : 002760 ( Pmc/Curation ); précédent : 002759; suivant : 002761Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness
Auteurs : Erica Schipper [États-Unis] ; Camran Nezhat [États-Unis]Source :
- International Journal of Women's Health [ 1179-1411 ] ; 2012.
Abstract
Endometriosis is a highly enigmatic disease with multiple presentations ranging from infertility to severe pain, often causing significant morbidity. Video-assisted laparoscopy (VALS) has now replaced laparotomy as the gold standard for the diagnosis and management of endometriosis. While imaging has a role in the evaluation of some patients, histologic examination is needed for a definitive diagnosis. Laboratory evaluation currently has a minor role in the diagnosis of endometriosis, although studies are underway investigating serum markers, genetic studies, and endometrial sampling. A high index of suspicion is essential to accurately diagnose this complex condition, and a multidisciplinary approach is often indicated. The following review discusses laparoscopic diagnosis of endometriosis from the pre-operative evaluation of patients suspected of having endometriosis to surgical technique for safe and adequate laparoscopic diagnosis of the condition and postsurgical care.
Url:
DOI: 10.2147/IJWH.S24948
PubMed: 22927769
PubMed Central: 3422109
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness</title><author><name sortKey="Schipper, Erica" sort="Schipper, Erica" uniqKey="Schipper E" first="Erica" last="Schipper">Erica Schipper</name><affiliation wicri:level="2"><nlm:aff id="af1-ijwh-4-383">Center for Minimally Invasive and Robotic Surgery, Palo Alto, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Center for Minimally Invasive and Robotic Surgery, Palo Alto</wicri:cityArea></affiliation></author><author><name sortKey="Nezhat, Camran" sort="Nezhat, Camran" uniqKey="Nezhat C" first="Camran" last="Nezhat">Camran Nezhat</name><affiliation wicri:level="1"><nlm:aff id="af2-ijwh-4-383">Obstetrics/Gynecology and Surgery, Stanford University Medical Center, Palo Alto, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Obstetrics/Gynecology and Surgery, Stanford University Medical Center, Palo Alto, CA</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22927769</idno><idno type="pmc">3422109</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3422109</idno><idno type="RBID">PMC:3422109</idno><idno type="doi">10.2147/IJWH.S24948</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002760</idno><idno type="wicri:Area/Pmc/Curation">002760</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness</title><author><name sortKey="Schipper, Erica" sort="Schipper, Erica" uniqKey="Schipper E" first="Erica" last="Schipper">Erica Schipper</name><affiliation wicri:level="2"><nlm:aff id="af1-ijwh-4-383">Center for Minimally Invasive and Robotic Surgery, Palo Alto, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Center for Minimally Invasive and Robotic Surgery, Palo Alto</wicri:cityArea></affiliation></author><author><name sortKey="Nezhat, Camran" sort="Nezhat, Camran" uniqKey="Nezhat C" first="Camran" last="Nezhat">Camran Nezhat</name><affiliation wicri:level="1"><nlm:aff id="af2-ijwh-4-383">Obstetrics/Gynecology and Surgery, Stanford University Medical Center, Palo Alto, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Obstetrics/Gynecology and Surgery, Stanford University Medical Center, Palo Alto, CA</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal of Women's Health</title><idno type="eISSN">1179-1411</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Endometriosis is a highly enigmatic disease with multiple presentations ranging from infertility to severe pain, often causing significant morbidity. Video-assisted laparoscopy (VALS) has now replaced laparotomy as the gold standard for the diagnosis and management of endometriosis. While imaging has a role in the evaluation of some patients, histologic examination is needed for a definitive diagnosis. Laboratory evaluation currently has a minor role in the diagnosis of endometriosis, although studies are underway investigating serum markers, genetic studies, and endometrial sampling. A high index of suspicion is essential to accurately diagnose this complex condition, and a multidisciplinary approach is often indicated. The following review discusses laparoscopic diagnosis of endometriosis from the pre-operative evaluation of patients suspected of having endometriosis to surgical technique for safe and adequate laparoscopic diagnosis of the condition and postsurgical care.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Giudice, Lc" uniqKey="Giudice L">LC Giudice</name></author><author><name sortKey="Kao, Lc" uniqKey="Kao L">LC Kao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Balasch, J" uniqKey="Balasch J">J Balasch</name></author><author><name sortKey="Creus, M" uniqKey="Creus M">M Creus</name></author><author><name sortKey="Fabregues, F" uniqKey="Fabregues F">F Fabregues</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martin, Jd" uniqKey="Martin J">JD Martin</name></author><author><name sortKey="Hauck, Ae" uniqKey="Hauck A">AE Hauck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Valle, Rf" uniqKey="Valle R">RF Valle</name></author><author><name sortKey="Sciarra, Jj" uniqKey="Sciarra J">JJ Sciarra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lobo, R" uniqKey="Lobo R">R Lobo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simpson, Jl" uniqKey="Simpson J">JL Simpson</name></author><author><name sortKey="Elias, S" uniqKey="Elias S">S Elias</name></author><author><name sortKey="Malinak, Lr" uniqKey="Malinak L">LR Malinak</name></author><author><name sortKey="Buttram, Vc" uniqKey="Buttram V">VC Buttram</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schipper, E" uniqKey="Schipper E">E Schipper</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huang, Jq" uniqKey="Huang J">JQ Huang</name></author><author><name sortKey="Lathi, Rb" uniqKey="Lathi R">RB Lathi</name></author><author><name sortKey="Lemyre, M" uniqKey="Lemyre M">M Lemyre</name></author><author><name sortKey="Rodriguez, He" uniqKey="Rodriguez H">HE Rodriguez</name></author><author><name sortKey="Nezhat, Ch" uniqKey="Nezhat C">CH Nezhat</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uimari, O" uniqKey="Uimari O">O Uimari</name></author><author><name sortKey="Jarvela, I" uniqKey="Jarvela I">I Jarvela</name></author><author><name sortKey="Ryynanen, M" uniqKey="Ryynanen M">M Ryynanen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kennedy, S" uniqKey="Kennedy S">S Kennedy</name></author><author><name sortKey="Bergqvist, A" uniqKey="Bergqvist A">A Bergqvist</name></author><author><name sortKey="Chapron, C" uniqKey="Chapron C">C Chapron</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Holsbeke, C" uniqKey="Van Holsbeke C">C Van Holsbeke</name></author><author><name sortKey="Van Calster, B" uniqKey="Van Calster B">B Van Calster</name></author><author><name sortKey="Guerriero, S" uniqKey="Guerriero S">S Guerriero</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ghezzi, F" uniqKey="Ghezzi F">F Ghezzi</name></author><author><name sortKey="Raio, L" uniqKey="Raio L">L Raio</name></author><author><name sortKey="Cromi, A" uniqKey="Cromi A">A Cromi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moore, J" uniqKey="Moore J">J Moore</name></author><author><name sortKey="Copley, S" uniqKey="Copley S">S Copley</name></author><author><name sortKey="Morris, J" uniqKey="Morris J">J Morris</name></author><author><name sortKey="Lindsell, D" uniqKey="Lindsell D">D Lindsell</name></author><author><name sortKey="Golding, S" uniqKey="Golding S">S Golding</name></author><author><name sortKey="Kennedy, S" uniqKey="Kennedy S">S Kennedy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kruse, C" uniqKey="Kruse C">C Kruse</name></author><author><name sortKey="Seyer Hansen, M" uniqKey="Seyer Hansen M">M Seyer-Hansen</name></author><author><name sortKey="Forman, A" uniqKey="Forman A">A Forman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Biscaldi, E" uniqKey="Biscaldi E">E Biscaldi</name></author><author><name sortKey="Ferrero, S" uniqKey="Ferrero S">S Ferrero</name></author><author><name sortKey="Fulcheri, E" uniqKey="Fulcheri E">E Fulcheri</name></author><author><name sortKey="Ragni, N" uniqKey="Ragni N">N Ragni</name></author><author><name sortKey="Remorgida, V" uniqKey="Remorgida V">V Remorgida</name></author><author><name sortKey="Rollandi, Ga" uniqKey="Rollandi G">GA Rollandi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, Cr" uniqKey="Nezhat C">CR Nezhat</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Admon, D" uniqKey="Admon D">D Admon</name></author><author><name sortKey="Seidman, D" uniqKey="Seidman D">D Seidman</name></author><author><name sortKey="Nezhat, Ch" uniqKey="Nezhat C">CH Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chamie, Lp" uniqKey="Chamie L">LP Chamie</name></author><author><name sortKey="Blasbalg, R" uniqKey="Blasbalg R">R Blasbalg</name></author><author><name sortKey="Pereira, Rm" uniqKey="Pereira R">RM Pereira</name></author><author><name sortKey="Warmbrand, G" uniqKey="Warmbrand G">G Warmbrand</name></author><author><name sortKey="Serafini, Pc" uniqKey="Serafini P">PC Serafini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Landi, S" uniqKey="Landi S">S Landi</name></author><author><name sortKey="Barbieri, F" uniqKey="Barbieri F">F Barbieri</name></author><author><name sortKey="Fiaccavento, A" uniqKey="Fiaccavento A">A Fiaccavento</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Faccioli, N" uniqKey="Faccioli N">N Faccioli</name></author><author><name sortKey="Manfredi, R" uniqKey="Manfredi R">R Manfredi</name></author><author><name sortKey="Mainardi, P" uniqKey="Mainardi P">P Mainardi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Faccioli, N" uniqKey="Faccioli N">N Faccioli</name></author><author><name sortKey="Foti, G" uniqKey="Foti G">G Foti</name></author><author><name sortKey="Manfredi, R" uniqKey="Manfredi R">R Manfredi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roseau, G" uniqKey="Roseau G">G Roseau</name></author><author><name sortKey="Dumontier, I" uniqKey="Dumontier I">I Dumontier</name></author><author><name sortKey="Palazzo, L" uniqKey="Palazzo L">L Palazzo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Squifflet, J" uniqKey="Squifflet J">J Squifflet</name></author><author><name sortKey="Feger, C" uniqKey="Feger C">C Feger</name></author><author><name sortKey="Donnez, J" uniqKey="Donnez J">J Donnez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="May, Ke" uniqKey="May K">KE May</name></author><author><name sortKey="Conduit Hulbert, Sa" uniqKey="Conduit Hulbert S">SA Conduit-Hulbert</name></author><author><name sortKey="Villar, J" uniqKey="Villar J">J Villar</name></author><author><name sortKey="Kirtley, S" uniqKey="Kirtley S">S Kirtley</name></author><author><name sortKey="Kennedy, Sh" uniqKey="Kennedy S">SH Kennedy</name></author><author><name sortKey="Becker, Cm" uniqKey="Becker C">CM Becker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Jefout, M" uniqKey="Al Jefout M">M Al-Jefout</name></author><author><name sortKey="Dezarnaulds, G" uniqKey="Dezarnaulds G">G Dezarnaulds</name></author><author><name sortKey="Cooper, M" uniqKey="Cooper M">M Cooper</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bokor, A" uniqKey="Bokor A">A Bokor</name></author><author><name sortKey="Kyama, Cm" uniqKey="Kyama C">CM Kyama</name></author><author><name sortKey="Vercruysse, L" uniqKey="Vercruysse L">L Vercruysse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berker, Bh" uniqKey="Berker B">BH Berker</name></author><author><name sortKey="Lee, K" uniqKey="Lee K">K Lee</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kelley, We" uniqKey="Kelley W">WE Kelley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Palmer, R" uniqKey="Palmer R">R Palmer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pappas, Tn" uniqKey="Pappas T">TN Pappas</name></author><author><name sortKey="Jacobs, Do" uniqKey="Jacobs D">DO Jacobs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Page, B" uniqKey="Page B">B Page</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Crowgey, Sr" uniqKey="Crowgey S">SR Crowgey</name></author><author><name sortKey="Garrison, Cp" uniqKey="Garrison C">CP Garrison</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Crowgey, Sr" uniqKey="Crowgey S">SR Crowgey</name></author><author><name sortKey="Garrison, Cp" uniqKey="Garrison C">CP Garrison</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vilos, Ga" uniqKey="Vilos G">GA Vilos</name></author><author><name sortKey="Ternamian, A" uniqKey="Ternamian A">A Ternamian</name></author><author><name sortKey="Dempster, J" uniqKey="Dempster J">J Dempster</name></author><author><name sortKey="Laberge, Py" uniqKey="Laberge P">PY Laberge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, Cr" uniqKey="Nezhat C">CR Nezhat</name></author><author><name sortKey="Nezhat, Fr" uniqKey="Nezhat F">FR Nezhat</name></author><author><name sortKey="Silfen, Sl" uniqKey="Silfen S">SL Silfen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bateman, Bg" uniqKey="Bateman B">BG Bateman</name></author><author><name sortKey="Kolp, La" uniqKey="Kolp L">LA Kolp</name></author><author><name sortKey="Mills, S" uniqKey="Mills S">S Mills</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Catalano, Gf" uniqKey="Catalano G">GF Catalano</name></author><author><name sortKey="Marana, R" uniqKey="Marana R">R Marana</name></author><author><name sortKey="Caruana, P" uniqKey="Caruana P">P Caruana</name></author><author><name sortKey="Muzii, L" uniqKey="Muzii L">L Muzii</name></author><author><name sortKey="Mancuso, S" uniqKey="Mancuso S">S Mancuso</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crosignani, Pg" uniqKey="Crosignani P">PG Crosignani</name></author><author><name sortKey="Vercellini, P" uniqKey="Vercellini P">P Vercellini</name></author><author><name sortKey="Biffignandi, F" uniqKey="Biffignandi F">F Biffignandi</name></author><author><name sortKey="Costantini, W" uniqKey="Costantini W">W Costantini</name></author><author><name sortKey="Cortesi, I" uniqKey="Cortesi I">I Cortesi</name></author><author><name sortKey="Imparato, E" uniqKey="Imparato E">E Imparato</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Busacca, M" uniqKey="Busacca M">M Busacca</name></author><author><name sortKey="Fedele, L" uniqKey="Fedele L">L Fedele</name></author><author><name sortKey="Bianchi, S" uniqKey="Bianchi S">S Bianchi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adamson, Gd" uniqKey="Adamson G">GD Adamson</name></author><author><name sortKey="Subak, Ll" uniqKey="Subak L">LL Subak</name></author><author><name sortKey="Pasta, Dj" uniqKey="Pasta D">DJ Pasta</name></author><author><name sortKey="Hurd, Sj" uniqKey="Hurd S">SJ Hurd</name></author><author><name sortKey="Von Franque, O" uniqKey="Von Franque O">O von Franque</name></author><author><name sortKey="Rodriguez, Bd" uniqKey="Rodriguez B">BD Rodriguez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mais, V" uniqKey="Mais V">V Mais</name></author><author><name sortKey="Ajossa, S" uniqKey="Ajossa S">S Ajossa</name></author><author><name sortKey="Guerriero, S" uniqKey="Guerriero S">S Guerriero</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Busacca, M" uniqKey="Busacca M">M Busacca</name></author><author><name sortKey="Vignali, M" uniqKey="Vignali M">M Vignali</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schipper, E" uniqKey="Schipper E">E Schipper</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martin, A" uniqKey="Martin A">A Martin</name></author><author><name sortKey="Torrent, A" uniqKey="Torrent A">A Torrent</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Possover, M" uniqKey="Possover M">M Possover</name></author><author><name sortKey="Stober, S" uniqKey="Stober S">S Stober</name></author><author><name sortKey="Plaul, K" uniqKey="Plaul K">K Plaul</name></author><author><name sortKey="Schneider, A" uniqKey="Schneider A">A Schneider</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Demir, B" uniqKey="Demir B">B Demir</name></author><author><name sortKey="Senerbahce, Z" uniqKey="Senerbahce Z">Z Senerbahce</name></author><author><name sortKey="Guzel, Ai" uniqKey="Guzel A">AI Guzel</name></author><author><name sortKey="Demir, S" uniqKey="Demir S">S Demir</name></author><author><name sortKey="Kilinc, N" uniqKey="Kilinc N">N Kilinc</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lipscomb, Gh" uniqKey="Lipscomb G">GH Lipscomb</name></author><author><name sortKey="Givens, Vm" uniqKey="Givens V">VM Givens</name></author><author><name sortKey="Smith, We" uniqKey="Smith W">WE Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berker, B" uniqKey="Berker B">B Berker</name></author><author><name sortKey="Lashay, N" uniqKey="Lashay N">N Lashay</name></author><author><name sortKey="Davarpanah, R" uniqKey="Davarpanah R">R Davarpanah</name></author><author><name sortKey="Marziali, M" uniqKey="Marziali M">M Marziali</name></author><author><name sortKey="Nezhat, Ch" uniqKey="Nezhat C">CH Nezhat</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stegmann, Bj" uniqKey="Stegmann B">BJ Stegmann</name></author><author><name sortKey="Sinaii, N" uniqKey="Sinaii N">N Sinaii</name></author><author><name sortKey="Liu, S" uniqKey="Liu S">S Liu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Nezhat, Fr" uniqKey="Nezhat F">FR Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Hood, J" uniqKey="Hood J">J Hood</name></author><author><name sortKey="Winer, W" uniqKey="Winer W">W Winer</name></author><author><name sortKey="Nexhat, F" uniqKey="Nexhat F">F Nexhat</name></author><author><name sortKey="Crowgey, Sr" uniqKey="Crowgey S">SR Crowgey</name></author><author><name sortKey="Garrison, Cp" uniqKey="Garrison C">CP Garrison</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Kho, Ka" uniqKey="Kho K">KA Kho</name></author><author><name sortKey="Morozov, V" uniqKey="Morozov V">V Morozov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vercellini, P" uniqKey="Vercellini P">P Vercellini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arenas, Akjb" uniqKey="Arenas A">AKJB Arenas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Datta, Ms" uniqKey="Datta M">MS Datta</name></author><author><name sortKey="Hanson, V" uniqKey="Hanson V">V Hanson</name></author><author><name sortKey="Pejovic, T" uniqKey="Pejovic T">T Pejovic</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Gorp, T" uniqKey="Van Gorp T">T Van Gorp</name></author><author><name sortKey="Amant, F" uniqKey="Amant F">F Amant</name></author><author><name sortKey="Neven, P" uniqKey="Neven P">P Neven</name></author><author><name sortKey="Vergote, I" uniqKey="Vergote I">I Vergote</name></author><author><name sortKey="Moerman, P" uniqKey="Moerman P">P Moerman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Hajhosseini, B" uniqKey="Hajhosseini B">B Hajhosseini</name></author><author><name sortKey="King, Lp" uniqKey="King L">LP King</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Lewis, M" uniqKey="Lewis M">M Lewis</name></author><author><name sortKey="Kotikela, S" uniqKey="Kotikela S">S Kotikela</name></author><author><name sortKey="Veeraswamy, A" uniqKey="Veeraswamy A">A Veeraswamy</name></author><author><name sortKey="Saadat, L" uniqKey="Saadat L">L Saadat</name></author><author><name sortKey="Hajhosseini, B" uniqKey="Hajhosseini B">B Hajhosseini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ercoli, A" uniqKey="Ercoli A">A Ercoli</name></author><author><name sortKey="D Sta, M" uniqKey="D Sta M">M D’Asta</name></author><author><name sortKey="Fagotti, A" uniqKey="Fagotti A">A Fagotti</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Jy" uniqKey="Kim J">JY Kim</name></author><author><name sortKey="Kwon, Je" uniqKey="Kwon J">JE Kwon</name></author><author><name sortKey="Kim, Hj" uniqKey="Kim H">HJ Kim</name></author><author><name sortKey="Park, K" uniqKey="Park K">K Park</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gupta, Rk" uniqKey="Gupta R">RK Gupta</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Batt, Re" uniqKey="Batt R">RE Batt</name></author><author><name sortKey="Smith, Ra" uniqKey="Smith R">RA Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adamyan, L" uniqKey="Adamyan L">L Adamyan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chapron, C" uniqKey="Chapron C">C Chapron</name></author><author><name sortKey="Fauconnier, A" uniqKey="Fauconnier A">A Fauconnier</name></author><author><name sortKey="Vieira, M" uniqKey="Vieira M">M Vieira</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haas, D" uniqKey="Haas D">D Haas</name></author><author><name sortKey="Chvatal, R" uniqKey="Chvatal R">R Chvatal</name></author><author><name sortKey="Habelsberger, A" uniqKey="Habelsberger A">A Habelsberger</name></author><author><name sortKey="Wurm, P" uniqKey="Wurm P">P Wurm</name></author><author><name sortKey="Schimetta, W" uniqKey="Schimetta W">W Schimetta</name></author><author><name sortKey="Oppelt, P" uniqKey="Oppelt P">P Oppelt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adamson, Gd" uniqKey="Adamson G">GD Adamson</name></author><author><name sortKey="Pasta, Dj" uniqKey="Pasta D">DJ Pasta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adamson, Gd" uniqKey="Adamson G">GD Adamson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Coccia, Me" uniqKey="Coccia M">ME Coccia</name></author><author><name sortKey="Rizzello, F" uniqKey="Rizzello F">F Rizzello</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Douglas, C" uniqKey="Douglas C">C Douglas</name></author><author><name sortKey="Rotimi, O" uniqKey="Rotimi O">O Rotimi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Pennington, E" uniqKey="Pennington E">E Pennington</name></author><author><name sortKey="Ambroze, W" uniqKey="Ambroze W">W Ambroze</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Pennington, E" uniqKey="Pennington E">E Pennington</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Pennington, E" uniqKey="Pennington E">E Pennington</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Silfen, Sl" uniqKey="Silfen S">SL Silfen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Pennington, E" uniqKey="Pennington E">E Pennington</name></author><author><name sortKey="Nezhat, Ch" uniqKey="Nezhat C">CH Nezhat</name></author><author><name sortKey="Ambroze, W" uniqKey="Ambroze W">W Ambroze</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Pennington, E" uniqKey="Pennington E">E Pennington</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Veeraswamy, A" uniqKey="Veeraswamy A">A Veeraswamy</name></author><author><name sortKey="Lewis, M" uniqKey="Lewis M">M Lewis</name></author><author><name sortKey="Mann, A" uniqKey="Mann A">A Mann</name></author><author><name sortKey="Kotikela, S" uniqKey="Kotikela S">S Kotikela</name></author><author><name sortKey="Hajhosseini, B" uniqKey="Hajhosseini B">B Hajhosseini</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, Ch" uniqKey="Nezhat C">CH Nezhat</name></author><author><name sortKey="Malik, S" uniqKey="Malik S">S Malik</name></author><author><name sortKey="Osias, J" uniqKey="Osias J">J Osias</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, Cr" uniqKey="Nezhat C">CR Nezhat</name></author><author><name sortKey="Nezhat, Fr" uniqKey="Nezhat F">FR Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Green, B" uniqKey="Green B">B Green</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Joseph, J" uniqKey="Joseph J">J Joseph</name></author><author><name sortKey="Sahn, Sa" uniqKey="Sahn S">SA Sahn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Korom, S" uniqKey="Korom S">S Korom</name></author><author><name sortKey="Canyurt, H" uniqKey="Canyurt H">H Canyurt</name></author><author><name sortKey="Missbach, A" uniqKey="Missbach A">A Missbach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alifano, M" uniqKey="Alifano M">M Alifano</name></author><author><name sortKey="Roth, T" uniqKey="Roth T">T Roth</name></author><author><name sortKey="Broet, Sc" uniqKey="Broet S">SC Broet</name></author><author><name sortKey="Schussler, O" uniqKey="Schussler O">O Schussler</name></author><author><name sortKey="Magdeleinat, P" uniqKey="Magdeleinat P">P Magdeleinat</name></author><author><name sortKey="Regnard, Jf" uniqKey="Regnard J">JF Regnard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hilaris, Ge" uniqKey="Hilaris G">GE Hilaris</name></author><author><name sortKey="Payne, Ck" uniqKey="Payne C">CK Payne</name></author><author><name sortKey="Osias, J" uniqKey="Osias J">J Osias</name></author><author><name sortKey="Cannon, W" uniqKey="Cannon W">W Cannon</name></author><author><name sortKey="Nezhat, Cr" uniqKey="Nezhat C">CR Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bagan, P" uniqKey="Bagan P">P Bagan</name></author><author><name sortKey="Le Pimpec Barthes, F" uniqKey="Le Pimpec Barthes F">F Le Pimpec Barthes</name></author><author><name sortKey="Assouad, J" uniqKey="Assouad J">J Assouad</name></author><author><name sortKey="Souilamas, R" uniqKey="Souilamas R">R Souilamas</name></author><author><name sortKey="Riquet, M" uniqKey="Riquet M">M Riquet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Levy, Js" uniqKey="Levy J">JS Levy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Nicoll, Lm" uniqKey="Nicoll L">LM Nicoll</name></author><author><name sortKey="Bhagan, L" uniqKey="Bhagan L">L Bhagan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Seidman, Ds" uniqKey="Seidman D">DS Seidman</name></author><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author><author><name sortKey="Kazerooni, T" uniqKey="Kazerooni T">T Kazerooni</name></author><author><name sortKey="Berker, B" uniqKey="Berker B">B Berker</name></author><author><name sortKey="Lashay, N" uniqKey="Lashay N">N Lashay</name></author><author><name sortKey="Fernandez, S" uniqKey="Fernandez S">S Fernandez</name></author><author><name sortKey="Marziali, M" uniqKey="Marziali M">M Marziali</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cho, Je" uniqKey="Cho J">JE Cho</name></author><author><name sortKey="Nezhat, Fr" uniqKey="Nezhat F">FR Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khan, Aw" uniqKey="Khan A">AW Khan</name></author><author><name sortKey="Craig, M" uniqKey="Craig M">M Craig</name></author><author><name sortKey="Jarmulowicz, M" uniqKey="Jarmulowicz M">M Jarmulowicz</name></author><author><name sortKey="Davidson, Br" uniqKey="Davidson B">BR Davidson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fernandes, H" uniqKey="Fernandes H">H Fernandes</name></author><author><name sortKey="Marla, Nj" uniqKey="Marla N">NJ Marla</name></author><author><name sortKey="Pailoor, K" uniqKey="Pailoor K">K Pailoor</name></author><author><name sortKey="Kini, R" uniqKey="Kini R">R Kini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chapron, C" uniqKey="Chapron C">C Chapron</name></author><author><name sortKey="Fauconnier, A" uniqKey="Fauconnier A">A Fauconnier</name></author><author><name sortKey="Goffinet, F" uniqKey="Goffinet F">F Goffinet</name></author><author><name sortKey="Breart, G" uniqKey="Breart G">G Bréart</name></author><author><name sortKey="Dubuisson, Jb" uniqKey="Dubuisson J">JB Dubuisson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chapron, C" uniqKey="Chapron C">C Chapron</name></author><author><name sortKey="Querleu, D" uniqKey="Querleu D">D Querleu</name></author><author><name sortKey="Bruhat, Ma" uniqKey="Bruhat M">MA Bruhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jansen, Fw" uniqKey="Jansen F">FW Jansen</name></author><author><name sortKey="Kapiteyn, K" uniqKey="Kapiteyn K">K Kapiteyn</name></author><author><name sortKey="Trimbos Kemper, T" uniqKey="Trimbos Kemper T">T Trimbos-Kemper</name></author><author><name sortKey="Hermans, J" uniqKey="Hermans J">J Hermans</name></author><author><name sortKey="Trimbos, Jb" uniqKey="Trimbos J">JB Trimbos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahmad, G" uniqKey="Ahmad G">G Ahmad</name></author><author><name sortKey="O Lynn, H" uniqKey="O Lynn H">H O’Flynn</name></author><author><name sortKey="Duffy, Jm" uniqKey="Duffy J">JM Duffy</name></author><author><name sortKey="Phillips, K" uniqKey="Phillips K">K Phillips</name></author><author><name sortKey="Watson, A" uniqKey="Watson A">A Watson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nezhat, F" uniqKey="Nezhat F">F Nezhat</name></author><author><name sortKey="Brill, Ai" uniqKey="Brill A">AI Brill</name></author><author><name sortKey="Nezhat, Ch" uniqKey="Nezhat C">CH Nezhat</name></author><author><name sortKey="Nezhat, A" uniqKey="Nezhat A">A Nezhat</name></author><author><name sortKey="Seidman, Ds" uniqKey="Seidman D">DS Seidman</name></author><author><name sortKey="Nezhat, C" uniqKey="Nezhat C">C Nezhat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Makai, G" uniqKey="Makai G">G Makai</name></author><author><name sortKey="Isaacson, K" uniqKey="Isaacson K">K Isaacson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chapron, Cm" uniqKey="Chapron C">CM Chapron</name></author><author><name sortKey="Pierre, F" uniqKey="Pierre F">F Pierre</name></author><author><name sortKey="Lacroix, S" uniqKey="Lacroix S">S Lacroix</name></author><author><name sortKey="Querleu, D" uniqKey="Querleu D">D Querleu</name></author><author><name sortKey="Lansac, J" uniqKey="Lansac J">J Lansac</name></author><author><name sortKey="Dubuisson, Jb" uniqKey="Dubuisson J">JB Dubuisson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harkki Siren, P" uniqKey="Harkki Siren P">P Harkki-Siren</name></author><author><name sortKey="Kurki, T" uniqKey="Kurki T">T Kurki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brill, Ai" uniqKey="Brill A">AI Brill</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Womens Health</journal-id><journal-id journal-id-type="iso-abbrev">Int J Womens Health</journal-id><journal-id journal-id-type="publisher-id">International Journal of Women's Health</journal-id><journal-title-group><journal-title>International Journal of Women's Health</journal-title></journal-title-group><issn pub-type="epub">1179-1411</issn><publisher><publisher-name>Dove Medical Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22927769</article-id><article-id pub-id-type="pmc">3422109</article-id><article-id pub-id-type="doi">10.2147/IJWH.S24948</article-id><article-id pub-id-type="publisher-id">ijwh-4-383</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Schipper</surname><given-names>Erica</given-names></name><xref ref-type="aff" rid="af1-ijwh-4-383">1</xref></contrib><contrib contrib-type="author"><name><surname>Nezhat</surname><given-names>Camran</given-names></name><xref ref-type="aff" rid="af2-ijwh-4-383">2</xref><xref ref-type="corresp" rid="c1-ijwh-4-383"></xref></contrib></contrib-group><aff id="af1-ijwh-4-383"><label>1</label>Center for Minimally Invasive and Robotic Surgery, Palo Alto, CA</aff><aff id="af2-ijwh-4-383"><label>2</label>Obstetrics/Gynecology and Surgery, Stanford University Medical Center, Palo Alto, CA, USA</aff><author-notes><corresp id="c1-ijwh-4-383">Correspondence: Camran Nezhat, Obstetrics/Gynecology and Surgery, Stanford University Medical Center, 900 Welch Road, Suite 403, Palo Alto, CA 94304, USA, Tel +1 650 327 8778, Fax +1 650 327 2794, Email <email>cnezhat@stanford.edu</email></corresp></author-notes><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>31</day><month>7</month><year>2012</year></pub-date><volume>4</volume><fpage>383</fpage><lpage>393</lpage><permissions><copyright-statement>© 2012 Schipper and Nezhat, publisher and licensee Dove Medical Press Ltd.</copyright-statement><copyright-year>2012</copyright-year><license><license-p>This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Endometriosis is a highly enigmatic disease with multiple presentations ranging from infertility to severe pain, often causing significant morbidity. Video-assisted laparoscopy (VALS) has now replaced laparotomy as the gold standard for the diagnosis and management of endometriosis. While imaging has a role in the evaluation of some patients, histologic examination is needed for a definitive diagnosis. Laboratory evaluation currently has a minor role in the diagnosis of endometriosis, although studies are underway investigating serum markers, genetic studies, and endometrial sampling. A high index of suspicion is essential to accurately diagnose this complex condition, and a multidisciplinary approach is often indicated. The following review discusses laparoscopic diagnosis of endometriosis from the pre-operative evaluation of patients suspected of having endometriosis to surgical technique for safe and adequate laparoscopic diagnosis of the condition and postsurgical care.</p></abstract><kwd-group><kwd>endometriosis</kwd><kwd>video-assisted</kwd><kwd>laparoscopy</kwd><kwd>diagnosis</kwd></kwd-group></article-meta></front><body><sec><title>Introduction</title><p>Endometriosis is an enigmatic and complex disease characterized by benign endometrial glands and stroma occurring outside of the uterine cavity. The disease causes significant frustration for both physicians and patients. Second only to leiomyomata in frequency of gynecologic disorders, endometriosis may cause pain, infertility, and a multitude of other symptoms, many of which mislead even the most experienced diagnosticians. More than just an individual issue, endometriosis incurs great societal cost in terms of psychological morbidity, work absenteeism, and disability compensation. Endometriosis carries an estimated prevalence of 6%–10% among women, most commonly of reproductive age. This increases to 35%–50% of women with pelvic pain, infertility, or both.<xref ref-type="bibr" rid="b1-ijwh-4-383">1</xref>,<xref ref-type="bibr" rid="b2-ijwh-4-383">2</xref> Prevalence is difficult to accurately assess, given that many women with endometriosis are asymptomatic and many do not seek medical attention for their symptoms. Known to be a largely estrogen-dependent entity, endometriosis has also been reported in postmenopausal women as well as men.<xref ref-type="bibr" rid="b3-ijwh-4-383">3</xref>,<xref ref-type="bibr" rid="b4-ijwh-4-383">4</xref></p></sec><sec><title>Clinical evaluation</title><p>Diagnosis of endometriosis first and foremost requires a high index of suspicion, as symptomatology may vary widely and disease course is largely unpredictable.<xref ref-type="bibr" rid="b5-ijwh-4-383">5</xref> A thorough history and careful physical exam are imperative. The most common presenting symptoms are pelvic pain and infertility. Dysmenorrhea, typically beginning 1–2 days prior to the start of menses is a classic symptom, although pelvic pain often occurs outside of the menstrual cycle as well. Pain may vary in description from dull to sharp, and many report a feeling of pressure or fullness of the pelvis. Pain may be unilateral or bilateral and often radiates to the low back and down the legs.</p><p>Dyspareunia, particularly with deep penetration, is also a hallmark of the disease and is usually secondary to endometrial implants on the uterosacral ligaments as well as immobility of pelvic organs that are entrapped by infiltrative disease and dense adhesions.</p><p>Fifteen to twenty percent of patients with endometriosis report abnormal uterine bleeding, most commonly premenstrual spotting and menorrhagia.<xref ref-type="bibr" rid="b5-ijwh-4-383">5</xref> Bleeding is usually in an ovulatory pattern, although approximately 15% of endometriosis patients also have anovulatory bleeding.</p><p>Interestingly, endometriosis has long shown a familial association.<xref ref-type="bibr" rid="b1-ijwh-4-383">1</xref> Over 30 years ago, it was recognized that first-degree relatives of women with severe endometriosis carried a six-fold greater risk of having the disease than relatives of women without endometriosis.<xref ref-type="bibr" rid="b6-ijwh-4-383">6</xref> Familial and genetic studies are ongoing, but a family history of endometriosis may elevate suspicion of the disease.</p><p>Signs of endometriosis include a fixed, retroverted uterus, uterosacral nodularity and tenderness (best evaluated on rectovaginal exam), and enlarged, tender ovaries that are often fixed to the posterior uterus or pelvic sidewall. Speculum exam may reveal endometriotic implants on the cervix or upper vagina. Fifteen percent of patients will demonstrate lateral displacement of the cervix on digital or speculum exam.<xref ref-type="bibr" rid="b5-ijwh-4-383">5</xref></p><p>The presence of leiomyomata should also raise the clinician’s suspicion of endometriosis.<xref ref-type="bibr" rid="b7-ijwh-4-383">7</xref> A 2010 study demonstrated an 86% prevalence of endometriosis in patients undergoing surgery for uterine fibroids.<xref ref-type="bibr" rid="b8-ijwh-4-383">8</xref> Women with fibroids and infertility, in particular, are likely to have concomitant endometriosis.<xref ref-type="bibr" rid="b9-ijwh-4-383">9</xref></p><p>Extragenital endometriosis, discussed in a later section, may present very unpredictably, with symptoms ranging from gastrointestinal disturbances in bowel endometriosis to catamenial pneumothorax in thoracic endometriosis. However, dyschezia and dysuria may be present even when endometriosis does not directly involve the bowel or bladder.<xref ref-type="bibr" rid="b10-ijwh-4-383">10</xref> It is critical during the preoperative interview and evaluation to inquire about bowel and bladder symptoms. When indicated, colonoscopy, magnetic resonance imaging (MRI), and/or computed tomography (CT) should be obtained for pre-operative planning. Appropriate consultation with a urologist and/or colorectal surgeon may be required.</p></sec><sec><title>Imaging studies</title><p>Imaging studies for endometriosis in general have limited value. The presence of an adnexal mass consistent with endometrioma is an exception.<xref ref-type="bibr" rid="b11-ijwh-4-383">11</xref> Transvaginal sonography (TVS) remains the method of choice for evaluation of an adnexal mass and has the added benefit of a lack of radiation exposure. We perform TVS on all patients suspected of having endometriosis to evaluate for endometriomas and fibroids. Endometriomas have distinct features on ultrasound, most commonly as unilocular cysts with a homogenous ‘ground glass’ appearance.<xref ref-type="bibr" rid="b12-ijwh-4-383">12</xref> The presence of an endometrioma should alert the clinician to the possibility of moderate to advanced stage disease.<xref ref-type="bibr" rid="b13-ijwh-4-383">13</xref> One concerning exception is the postmenopausal patient, in which ovarian cysts with ‘ground glass’ appearance are associated with a 44% risk of malignancy.<xref ref-type="bibr" rid="b12-ijwh-4-383">12</xref> Additionally, TVS may play a role in the evaluation of disease involving the bladder and rectum.<xref ref-type="bibr" rid="b14-ijwh-4-383">14</xref>,<xref ref-type="bibr" rid="b15-ijwh-4-383">15</xref></p><p>CT may be useful in diagnosing bowel endometriosis in the presence of colon distension.<xref ref-type="bibr" rid="b15-ijwh-4-383">15</xref>,<xref ref-type="bibr" rid="b16-ijwh-4-383">16</xref> CT evidence of hydronephrosis or hydroureter in patients with pelvic pain or a history of endometriosis should raise suspicion of genitourinary involvement.<xref ref-type="bibr" rid="b17-ijwh-4-383">17</xref> Radiation exposure should be taken into consideration.</p><p>MRI also has limited use in the diagnosis of endometriosis. It may be helpful in confirming the identification of an adnexal mass as an endometrioma when TVS is equivocal. MRI should also be considered if the clinician is suspicious of ureteral involvement, and it may be useful in evaluation of anatomy when extensive pelvic adhesions are anticipated.<xref ref-type="bibr" rid="b18-ijwh-4-383">18</xref></p><p>The role of double-contrast barium enema (DCBE) in the evaluation of rectovaginal endometriosis is controversial.<xref ref-type="bibr" rid="b15-ijwh-4-383">15</xref> Some studies have shown encouraging accuracy in predicting the need for intestinal surgery in endometriosis cases.<xref ref-type="bibr" rid="b19-ijwh-4-383">19</xref>,<xref ref-type="bibr" rid="b20-ijwh-4-383">20</xref> DCBE was found in one report to be superior to MRI<xref ref-type="bibr" rid="b21-ijwh-4-383">21</xref> but in another to be inferior to rectal ultrasound.<xref ref-type="bibr" rid="b21-ijwh-4-383">21</xref> However, other studies have demonstrated lower sensitivity of DCBE for rectovaginal disease.<xref ref-type="bibr" rid="b22-ijwh-4-383">22</xref>,<xref ref-type="bibr" rid="b23-ijwh-4-383">23</xref> DCBE does not permit examination of the entire bowel wall and gives no information regarding depth of infiltration but may provide useful preoperative planning in some cases of suspected severe disease.<xref ref-type="bibr" rid="b15-ijwh-4-383">15</xref></p></sec><sec><title>Laboratory evaluation</title><p>No serum marker has yet been identified that is useful in the diagnosis of endometriosis. Cancer antigen 125 (CA-125) is frequently elevated in endometriosis, particularly in Stage III/IV disease and in the presence of endometriomas; however, correlation with laparoscopically diagnosed disease is still limited at best and is largely not considered clinically useful.<xref ref-type="bibr" rid="b10-ijwh-4-383">10</xref>,<xref ref-type="bibr" rid="b11-ijwh-4-383">11</xref>,<xref ref-type="bibr" rid="b24-ijwh-4-383">24</xref> Numerous additional biomarkers are currently being studied, both in isolation and in combination testing. Additionally, genetic markers and evaluation of endometrial biopsy samples are showing promise as less invasive means of diagnosis.<xref ref-type="bibr" rid="b1-ijwh-4-383">1</xref>,<xref ref-type="bibr" rid="b25-ijwh-4-383">25</xref>,<xref ref-type="bibr" rid="b26-ijwh-4-383">26</xref> At this time, however, none of these methods of evaluation have approached the diagnostic accuracy of laparoscopy.</p></sec><sec><title>Surgical diagnosis</title><p>Endometriosis was first described by Von Rokitansky in 1860.<xref ref-type="bibr" rid="b1-ijwh-4-383">1</xref> The condition has historically been diagnosed and treated by laparotomy, and treatment prior to 1960 was almost exclusively achieved by abdominal hysterectomy with bilateral salpingo-oophorectomy.<xref ref-type="bibr" rid="b27-ijwh-4-383">27</xref></p><p>Abdominal laparoscopy was first introduced as early as the 1910s;<xref ref-type="bibr" rid="b28-ijwh-4-383">28</xref>–<xref ref-type="bibr" rid="b30-ijwh-4-383">30</xref> however, the true benefits of operative laparoscopy were only realized with the introduction of video-assisted laparoscopic surgery (VALS).<xref ref-type="bibr" rid="b27-ijwh-4-383">27</xref>,<xref ref-type="bibr" rid="b31-ijwh-4-383">31</xref>,<xref ref-type="bibr" rid="b32-ijwh-4-383">32</xref> Before the advent of VALS, the utility of operative laparoscopy was diminished by two major drawbacks: poor visualization into the intra-abdominal cavity with one eye and the inability of the operative team to view the operative field. Both of these limitations were rectified with the introduction of VALS by Dr Camran Nezhat.<xref ref-type="bibr" rid="b32-ijwh-4-383">32</xref></p><p>The benefits of VALS have facilitated the transition from laparotomy to laparoscopy for multiple procedures including those as uncomplicated as appendectomy and cholecystectomy as well as more complicated procedures such as bowel resection. In 1985, Nezhat reported that even extensive endometriosis, and as a result, almost all abdominal and pelvic pathologies, can be managed effectively using VALS.<xref ref-type="bibr" rid="b33-ijwh-4-383">33</xref> The increasing application of advanced VALS is a direct consequence of surgical ingenuity and advances in laparoscopic techniques and equipment.<xref ref-type="bibr" rid="b28-ijwh-4-383">28</xref>,<xref ref-type="bibr" rid="b34-ijwh-4-383">34</xref>–<xref ref-type="bibr" rid="b36-ijwh-4-383">36</xref></p><p>Several studies have demonstrated that outcomes with laparoscopic management of endometriosis are similar to those of laparotomy in terms of pregnancy rates, fecundity, and recurrence rates.<xref ref-type="bibr" rid="b37-ijwh-4-383">37</xref>–<xref ref-type="bibr" rid="b41-ijwh-4-383">41</xref> A prospective, randomized controlled trial evaluating laparotomy versus VALS for the treatment of endometriomas showed similar outcomes as well and also confirmed that VALS is associated with lower analgesic requirement, earlier discharge, and shorter postoperative recovery time.<xref ref-type="bibr" rid="b42-ijwh-4-383">42</xref> Patients experience significantly less disruption in their lives with VALS than with laparotomy and typically return to work more quickly. VALS also offers improved visualization of the abdomen and pelvis, with the ability to magnify and approach structures from angles not accessible by laparotomy, allowing for a more thorough treatment of extensive disease.<xref ref-type="bibr" rid="b43-ijwh-4-383">43</xref>,<xref ref-type="bibr" rid="b44-ijwh-4-383">44</xref> The clear visualization afforded by VALS offers significant advantages for radical surgery for both oncologic indications as well as extensive endometriosis. Nerve-sparing radical surgery is facilitated by the ability to magnify objects and accurately dissect around the pelvic nerves.<xref ref-type="bibr" rid="b45-ijwh-4-383">45</xref>,<xref ref-type="bibr" rid="b46-ijwh-4-383">46</xref></p></sec><sec><title>Technique and instrumentation</title><p>VALS for the diagnosis and management of endometriosis has become the gold standard. As minimally invasive surgery has progressed, it becomes more and more unconscionable to inflict laparotomy and its prolonged recovery on patients already afflicted with chronic pain and/or infertility, unless absolutely necessary. Furthermore, reports of endometriosis found in Pfannenstiel scars are highly suspicious for iatrogenic spread of the disease.<xref ref-type="bibr" rid="b47-ijwh-4-383">47</xref>,<xref ref-type="bibr" rid="b48-ijwh-4-383">48</xref></p><p>Minimally invasive surgery is rapidly progressing toward microsurgery as technical advances allow for smaller and fewer incisions. At this time, the authors still prefer the 10-mm laparoscope for outstanding optics and a sharp picture. As endometriosis may present in numerous and subtle ways, an excellent visual field is imperative for the identification of possible lesions. This includes a high-quality camera, preferably with high-definition capability.</p><p>The surgeon begins with a thorough evaluation of the pelvis and abdomen. Initial entry is followed by examination of the site of entry to ensure that no injury resulted from the veress needle or trocar.<xref ref-type="bibr" rid="b27-ijwh-4-383">27</xref> The extent of disease and any anatomical distortion should be assessed and documented with photographs. Whether to videotape a procedure is highly controversial due to the possibility of alteration and liability concerns. The location and course of vital structures is noted, including the bladder, ureters, rectosigmoid colon, and major blood vessels, as well as the uterosacral ligaments, and the ovaries and their blood supply. The pelvic and abdominal sidewalls, liver, and diaphragm are evaluated for any lesions that may be contributing to the patient’s symptoms. The surface of the uterus, fallopian tubes, ovaries, ovarian fossae, and cul de sac are examined. The appendix should be carefully evaluated and removal considered, as 22% of patients with pelvic endometriosis will also have endometriosis of the appendix (<xref ref-type="fig" rid="f1-ijwh-4-383">Figure 1</xref>).<xref ref-type="bibr" rid="b49-ijwh-4-383">49</xref> A rectovaginal exam and thorough examination of the pararectal spaces and uterosacral ligaments may reveal deep infiltrating disease and/or cul de sac obliteration (<xref ref-type="fig" rid="f2-ijwh-4-383">Figure 2</xref>). Often, a seemingly superficial lesion on the peritoneal surface may extend for several centimeters deep into the retroperitoneal space. These ‘iceberg’ lesions can frequently be detected by probing with a blunt instrument or suction-irrigator. Careful notation should be made of the size, depth, and proximity to other anatomic structures. Provided the patient has consented and it is safe to proceed, excision may be undertaken.</p><p>Endometriosis can only be confirmed by histopathologic examination. Therefore, biopsy of suspected lesions is essential, and excision is preferable when it can be safely done. Most gynecologists are familiar with the common black, brown, or blue ‘powder burn’ appearance of peritoneal endometriosis; however, this manifestation accounts for only a minority of lesions.<xref ref-type="bibr" rid="b27-ijwh-4-383">27</xref> Endometrial implants may appear in a number of different ways, including subtle red or white lesions, clear ‘bubble’ lesions, small hemorrhagic cysts, or white fibrotic lesions.<xref ref-type="bibr" rid="b11-ijwh-4-383">11</xref> Stegmann et al showed that most lesions contain a mix of colors and textures and that the surgeon’s impression of whether a lesion contains endometriosis has only a 65% positive predictive value of actual histology-confirmed endometriosis.<xref ref-type="bibr" rid="b50-ijwh-4-383">50</xref> This study confirms the importance of obtaining pathologic diagnosis of any abnormal lesion that may be safely sampled or removed. Even our team, a referral center for complex cases of endometriosis with decades of experience, is often surprised by biopsied specimens that do not appear consistent with endometriosis but which are histologically confirmed to contain endometriotic glands and stroma.</p><p>Safe laparoscopic excision of an endometriotic lesion requires acute awareness of surrounding structures. Adhesiolysis is often necessary for thorough evaluation of the pelvis. This may be accomplished with a combination of blunt or sharp dissection, electrosurgery, or ultrasonic energy. For dense adhesions, the authors prefer the CO<sub>2</sub> laser, which has the most limited thermal spread of any available laparoscopic energy source and a very limited depth of invasion.<xref ref-type="bibr" rid="b33-ijwh-4-383">33</xref>,<xref ref-type="bibr" rid="b51-ijwh-4-383">51</xref>,<xref ref-type="bibr" rid="b52-ijwh-4-383">52</xref> A good alternative for limited thermal spread is the PlasmaJet<sup>®</sup> (Plasma Surgical, Inc, Roswell, GA), a new technology employing excited electrically neutral argon plasma with a thermal spread of only 200 μm.<xref ref-type="bibr" rid="b53-ijwh-4-383">53</xref></p><p>We also strongly advocate the use of hydrodissection to separate superficial peritoneal layers from underlying vital structures before excising peritoneal lesions.<xref ref-type="bibr" rid="b51-ijwh-4-383">51</xref> To hydrodissect, a small incision is made in an area of peritoneum near the lesion but away from any vital structures. The suction-irrigator probe may then be inserted into the incision superficially and irrigation applied in order to lift the surface peritoneum from the underlying tissues. The area over the lesion may then be gently grasped and carefully dissected off using laparoscopic scissors or energy with minimal thermal spread such as those discussed above.</p><p>Endometriomas, or endometriosis-filled cysts of the ovaries, account for approximately 35% of benign ovarian cysts (<xref ref-type="fig" rid="f3-ijwh-4-383">Figure 3</xref>).<xref ref-type="bibr" rid="b44-ijwh-4-383">44</xref>,<xref ref-type="bibr" rid="b54-ijwh-4-383">54</xref> One-third to one-half of patients with endometriomas will have bilateral cysts.<xref ref-type="bibr" rid="b55-ijwh-4-383">55</xref> On initial diagnostic laparoscopy, excision of an endometrioma is ideal for two reasons: first, endometriomas greater than 1 cm in size are unlikely to spontaneously resolve, and second, excision allows for pathologic examination of the tissue and diagnostic confirmation.<xref ref-type="bibr" rid="b45-ijwh-4-383">45</xref> The risk of malignant transformation of an endometrioma is 2.5%, most commonly resulting in endometrioid carcinoma or clear cell adenocarcinoma.<xref ref-type="bibr" rid="b44-ijwh-4-383">44</xref>,<xref ref-type="bibr" rid="b56-ijwh-4-383">56</xref>,<xref ref-type="bibr" rid="b57-ijwh-4-383">57</xref></p><p>At the conclusion of a diagnostic VALS procedure, cystoscopy should be strongly considered, particularly if any dissection has occurred near the bladder or ureters. Cystoscopy should also be a part of the diagnostic evaluation in patients with urinary symptoms such as dysuria, hematuria, or urinary urgency. Additionally, in any patient who has undergone significant enterolysis and/or cul de sac dissection, a proctoscopy with instillation of air in the rectum and irrigation of the bowel surface should be performed. The presence of bubbles with air instillation indicates bowel injury. Alternatively, dilute indigo carmine can be instilled in the rectum to evaluate for distal bowel injury.</p></sec><sec><title>Robot assistance</title><p>More recently, the da Vinci robotic platform has been used in the diagnosis and treatment of endometriosis (<xref ref-type="fig" rid="f4-ijwh-4-383">Figure 4</xref>).<xref ref-type="bibr" rid="b58-ijwh-4-383">58</xref>–<xref ref-type="bibr" rid="b60-ijwh-4-383">60</xref> The three-dimensional view offers excellent visualization, which may be most beneficial in identifying suspected implants. However, the robotic platform has the distinct disadvantage of offering only a unidirectional view within the abdominal cavity. It is advisable for the surgeon to first undertake a diagnostic laparoscopy to ensure that suspected endometriosis is not visible in the upper abdomen, liver, diaphragm, and appendix before docking the robot in order to proceed with examination and treatment of the pelvis. Additionally, the loss of haptic feedback is a major detriment to the identification of the fibrotic lesions characteristic of deeply infiltrating disease. However, in the treatment of endometriosis, the da Vinci may offer ease of hand tremor and more instinctual movement of the wristed instruments. As such, it can help to bridge the gap between VALS and laparotomy for surgeons who are uncomfortable performing traditional VALS.</p></sec><sec><title>Staging</title><p>Several different criteria for the classification of endometriosis have been developed. Unfortunately, all classifications are subjective and correlate poorly with symptoms and fertility outcomes.<xref ref-type="bibr" rid="b11-ijwh-4-383">11</xref> The most widely accepted is that proposed in 1996 by the American Society for Reproductive Medicine (ASRM), rating the extent of endometriosis on a scale of I (minimal) to IV (severe).<xref ref-type="bibr" rid="b61-ijwh-4-383">61</xref>–<xref ref-type="bibr" rid="b63-ijwh-4-383">63</xref> The ASRM system has the benefit of allowing clinicians to communicate effectively concerning prognosis and treatment but does not correlate well with symptoms nor a patient’s likelihood of conception following treatment.<xref ref-type="bibr" rid="b64-ijwh-4-383">64</xref> Additional classification systems have been proposed by Batt et al,<xref ref-type="bibr" rid="b65-ijwh-4-383">65</xref> Adamyan,<xref ref-type="bibr" rid="b66-ijwh-4-383">66</xref> and Chapron et al.<xref ref-type="bibr" rid="b67-ijwh-4-383">67</xref> In 2004, the ENZIAN classification was introduced and may serve as an adjunct to the ASRM classification for deeply infiltrative disease.<xref ref-type="bibr" rid="b68-ijwh-4-383">68</xref> Adamson and Pasta developed the Endometriosis Fertility Index, which has been validated as a means of predicting non-IVF pregnancy rates in patients who have undergone surgical evaluation of endometriosis.<xref ref-type="bibr" rid="b69-ijwh-4-383">69</xref>,<xref ref-type="bibr" rid="b70-ijwh-4-383">70</xref> The American Association of Gynecologic Laparoscopists (AAGL) is in the process of developing a new classification system for endometriosis.<xref ref-type="bibr" rid="b71-ijwh-4-383">71</xref> More recently, a new staging system based on ultrasonographic findings of deep, infiltrating disease has been suggested as well.<xref ref-type="bibr" rid="b72-ijwh-4-383">72</xref> While interest is high, the establishment of a widely accepted and clinically significant classification system remains elusive.</p></sec><sec><title>Extragenital endometriosis</title><p>Endometriosis occurs most commonly in the pelvis, particularly on the ovaries, fallopian tubes, and anterior and posterior cul de sac areas. When endometriosis occurs outside of the pelvis, it is termed “extragenital endometriosis”. A 2004 review of 379 cases of endometriosis found a prevalence of 8.4% in extragenital locations.<xref ref-type="bibr" rid="b73-ijwh-4-383">73</xref> Of these, 32.3% involved the intestinal tract, 5.9% involved the urinary tract, and 61.8% involved other areas, including abdominal scar, inguinal canal, umbilicus, and perineum. While pain was the most common presenting symptom, cyclical pain occurred in only approximately 40%. Palpable mass was also present in approximately 40%, most notably in low transverse abdominal scars, indicating a possible iatrogenic etiology.</p><sec><title>Bowel endometriosis</title><p>The rectosigmoid colon is the most commonly involved site of endometriosis beyond the gynecologic organs, followed by the appendix. Endometriosis of the bowel may manifest in any number of ways, including hematochezia, melena, constipation, diarrhea, bloating, nausea, and emesis. Again, symptoms may be cyclic but very frequently are not. Imaging as discussed above should be obtained for pre-operative management when indicated. A colonoscopy is indicated in patients with melena or hematochezia. A multidisciplinary approach with the involvement of a colorectal surgeon should be strongly considered. Management of bowel endometriosis was first reported in October 1988 at the 44th Annual Meeting of the American Fertility Society in Atlanta, GA and may be accomplished by multiple techniques depending on the extent of infiltration and therapeutic goals of the patient. Surgical management may include superficial shaving, disk excision, or segmental bowel resection.<xref ref-type="bibr" rid="b51-ijwh-4-383">51</xref>,<xref ref-type="bibr" rid="b74-ijwh-4-383">74</xref>–<xref ref-type="bibr" rid="b78-ijwh-4-383">78</xref></p></sec><sec><title>Endometriosis of the urinary tract</title><p>Urinary tract endometriosis is estimated to occur in 1%–5% of endometriosis cases, affecting the bladder, ureter, and kidney in a ratio of 40:5:1.<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref>–<xref ref-type="bibr" rid="b82-ijwh-4-383">82</xref> Complaints that should alert the clinician to possible urinary tract involvement include urgency, frequency, suprapubic pain, urge incontinence, flank or back pain, and dyspareunia. Hematuria is reported in 33% of cases but is only cyclic in approximately half of these patients.<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref> When urinary tract involvement is suspected, imaging must be performed to evaluate for hydronephrosis or hydroureter. CT, MRI, or intravenous pyelogram (IVP) may help to localize a lesion compressing the ureter. Cystoscopy will reveal bladder mucosal involvement or mass effect and may be used for pre-operative ureteral stent placement (<xref ref-type="fig" rid="f5-ijwh-4-383">Figure 5</xref>). In the event of significant renal compromise, percutaneous nephrostomy may be required prior to definitive surgery. Careful ureterolysis should be performed in all patients prior to removing an endometriotic nodule in order to identify the course of the ureter and prevent injury. The authors frequently administer intraoperative intravenous indigo carmine in order to alert to any ureteral injury at time of ureterolysis. If the mucosa of the bladder or ureter is involved with endometriosis, segmental resection and reanastomosis is the treatment of choice.<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref>–<xref ref-type="bibr" rid="b82-ijwh-4-383">82</xref></p></sec><sec><title>Thoracic endometriosis syndrome</title><p>Thoracic endometriosis syndrome is an unusual entity consisting of endometriosis of the lung parenchyma, airways, or pleura (<xref ref-type="fig" rid="f6-ijwh-4-383">Figure 6</xref>). Thoracic endometriosis generally consists of one of four manifestations, in order of most common presentation: catamenial pneumothorax (80%), catamenial hemothorax (14%), catamenial hemoptysis (5%), and endometriotic lung nodules.<xref ref-type="bibr" rid="b73-ijwh-4-383">73</xref>,<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref>,<xref ref-type="bibr" rid="b83-ijwh-4-383">83</xref> Most thoracic lesions are solitary with the right hemithorax involved in 92% of cases, the left hemithorax in 5%, and both in 3%.<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref>,<xref ref-type="bibr" rid="b84-ijwh-4-383">84</xref> Among patients with thoracic endometriosis, 50%–80% will also have disease of the pelvis.<xref ref-type="bibr" rid="b83-ijwh-4-383">83</xref> Catamenial pneumothorax is defined as pneumothorax occurring within 72 hours of onset of menses. Although often cyclic, recurrences may occur in the premenstrual period or at time of ovulation.<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref> It is possible that many cases of presumed primary pneumothorax in women are actually due to thoracic endometriosis. Patients with thoracic endometriosis usually present with nonspecific symptoms including cough, shortness of breath, chest discomfort, and less commonly, hemoptysis. They may also experience referred pain to the shoulder, neck, or scapula due to diaphragmatic irritation.</p><p>The most important tool for the diagnosis of thoracic endometriosis syndrome is astute clinical suspicion. Emergent cases of catamenial pneumothorax or hemothorax are managed with thoracentesis and chest tube. Medical management for catamenial symptoms, particularly gonadotropin-releasing hormone (GnRH) agonists, may be both diagnostic and therapeutic.<xref ref-type="bibr" rid="b85-ijwh-4-383">85</xref> A catamenial pattern of symptoms is considered pathognomonic for the disease. CT, MRI, chest radiograph, and bronchoscopy may be useful in evaluation, primarily to rule out malignancy, infection, or other pathology, although they have low yield for diagnosis of endometriosis.<xref ref-type="bibr" rid="b86-ijwh-4-383">86</xref> Bronchoscopy-directed biopsy rarely confirms endometriosis, but brush cytology more frequently confirms the presence of endometrial cells.<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref> Definitive diagnosis and surgical treatment of thoracic endometriosis syndrome is accomplished with video-assisted thoracoscopic surgery (VATS).<xref ref-type="bibr" rid="b87-ijwh-4-383">87</xref> A multidisciplinary approach with VATS in combination with VALS will reveal disease of the thoracic cavity and subdiaphragmatic surface as well as the pelvis.<xref ref-type="bibr" rid="b85-ijwh-4-383">85</xref>,<xref ref-type="bibr" rid="b88-ijwh-4-383">88</xref>–<xref ref-type="bibr" rid="b90-ijwh-4-383">90</xref> In a multidisciplinary approach with experienced cardiothoracic and gynecologic surgeons, thoracic and diaphragmatic endometriosis can be treated with laser ablation of lesions or with resection and repair of the diaphragm, pleura, or lung.<xref ref-type="bibr" rid="b84-ijwh-4-383">84</xref>,<xref ref-type="bibr" rid="b86-ijwh-4-383">86</xref>,<xref ref-type="bibr" rid="b90-ijwh-4-383">90</xref></p></sec><sec><title>Other sites of extrapelvic endometriosis</title><p>Endometriosis has been found in nearly every organ of the body. Endometriosis of the abdominal diaphragm may present with similar discomfort as that of the thoracic diaphragm. It is more likely to be found on the right side due to the natural clockwise flow of peritoneal fluid.<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref> Pain is most commonly in the right upper quadrant, right chest or shoulder, or right scapula. Again, a multidisciplinary approach is sensible, as resection of lesions may require repair of the diaphragm.</p><p>Endometriosis of the liver and omentum are less common but should be kept in mind when performing diagnostic or operative VALS. Liver endometriosis may present with right upper quadrant or epigastric pain, malaise, nausea, vomiting, obstructive jaundice, portal vein thrombosis, and hepatomegaly.<xref ref-type="bibr" rid="b79-ijwh-4-383">79</xref>,<xref ref-type="bibr" rid="b91-ijwh-4-383">91</xref> Malignant transformation is a concern in the liver as in any unusual location of endometriosis, although the ovary is the most common site for endometriosis-associated malignancy to occur.<xref ref-type="bibr" rid="b92-ijwh-4-383">92</xref>,<xref ref-type="bibr" rid="b93-ijwh-4-383">93</xref></p><p>Endometriosis has also been found in muscle, bone, nerves, the pancreas, and the kidney. Endometriosis of the vagina and cervix may be detected on physical exam. Symptoms include pain, dyspareunia, postcoital bleeding, metrorrhagia, or a palpable mass. Vulvar, perineal, and perianal endometriosis generally occurs in episiotomy, laceration repairs, or other vulvar scars. Lesions of the vagina, cervix, or vulva should be biopsied to exclude malignant or premalignant conditions.</p><p>Particularly with cutaneous incidence of endometriosis, fine needle aspiration is showing significant promise for cytopathologic diagnosis and serves to facilitate planning for surgical management.<xref ref-type="bibr" rid="b94-ijwh-4-383">94</xref></p></sec></sec><sec><title>Postoperative management</title><p>Following laparoscopic surgery for diagnosis and treatment of endometriosis, most patients may be discharged home on the same day.</p><p>A comprehensive discussion of surgical and medical management of endometriosis is beyond the scope of this review. However, provided that endometriosis is recognized upon laparoscopic exploration, every reasonable attempt should be made to fully excise endometrial implants while remaining safely within the surgeon’s capabilities. Alternatively, referral to a more experienced surgeon may be indicated in very difficult cases.</p><p>Unless pregnancy is immediately planned, surgical resection of endometriosis should be followed by medical suppression. GnRH agonists, oral contraceptives, and progestins are among the effective options for preventing recurrence of the disease. Some patients will require repeat surgical management due to pain or infertility resulting from recurrent disease despite suppression. Patients with histologic diagnosis of endometriomas and recurrent asymptomatic cysts may be expectantly managed with physical exam and ultrasound every 6 months for 1–2 years followed by annual exam and ultrasound.<xref ref-type="bibr" rid="b45-ijwh-4-383">45</xref> With development of symptoms, enlargement, or increase in complexity of the cysts, surgical intervention is required.</p><sec><title>Complications</title><p>Complications of laparoscopy have become increasingly less common, occurring in 3.2 per 1000 cases.<xref ref-type="bibr" rid="b95-ijwh-4-383">95</xref> Multiple studies have illustrated that increased surgeon experience is associated with decreased rates of complications as well as improved outcomes.<xref ref-type="bibr" rid="b96-ijwh-4-383">96</xref>,<xref ref-type="bibr" rid="b97-ijwh-4-383">97</xref></p><p>One-third to one-half of injuries occur at entry.<xref ref-type="bibr" rid="b96-ijwh-4-383">96</xref>,<xref ref-type="bibr" rid="b97-ijwh-4-383">97</xref> Closed entry with a Veress needle, direct entry, and open entry are all associated with same rates of vascular and bowel injury. <xref ref-type="bibr" rid="b98-ijwh-4-383">98</xref> The astute surgeon should be familiar with all three techniques and employ the method most appropriate for the patient. Entry should occur with the patient table low and flat, as entry in Trendelenburg increases the risk of aortic or iliac vessel injury.<xref ref-type="bibr" rid="b99-ijwh-4-383">99</xref> A left upper quadrant entry may be considered in patients suspected of having intra-abdominal adhesions. Regardless of entry technique, the area below and surrounding the site of entry should be immediately examined with the laparoscope before any further evaluation is done and before the patient is moved, to ensure that no injury has occurred.</p><p>Morbidity and mortality are extremely high for vascular injury.<xref ref-type="bibr" rid="b100-ijwh-4-383">100</xref> The most likely sites of internal vascular injury in gynecologic laparoscopy include the aorta, inferior vena cava, and right iliac vessels. Most injuries occur during trocar placement, followed by Veress entry and electrosurgical instruments.<xref ref-type="bibr" rid="b97-ijwh-4-383">97</xref>,<xref ref-type="bibr" rid="b101-ijwh-4-383">101</xref> Additionally, extensive retroperitoneal dissection, lymphadenectomy, and sacral colpopexy increase the risk of vascular injury.<xref ref-type="bibr" rid="b101-ijwh-4-383">101</xref> The inferior epigastric vessels are frequently injured during lateral trocar placement.<xref ref-type="bibr" rid="b100-ijwh-4-383">100</xref> This may be avoided with careful transillumination of the abdominal wall and mapping of the vessel course laparoscopically prior to port placement. Vessel injury should be suspected in any patient who suddenly becomes unstable intraoperatively. A retroperitoneal vessel injury may not be immediately obvious. When the site of injury is identified, pressure should be applied to minimize blood loss. The assistance of a vascular surgeon, if available, should be immediately requested. Emergency laparotomy is indicated in the event of large vessel injury.</p><p>Bowel injuries account for approximately 20% of all injuries in gynecologic laparoscopy.<xref ref-type="bibr" rid="b96-ijwh-4-383">96</xref>,<xref ref-type="bibr" rid="b97-ijwh-4-383">97</xref> Mortality associated with delayed diagnosis of bowel injury may be up to 28%.<xref ref-type="bibr" rid="b101-ijwh-4-383">101</xref> Approximately half of all injuries occur during entry. Injury to the stomach may be avoided by ensuring that the stomach is decompressed with a naso- or orogastric tube prior to entry. Management of a bowel injury recognized at time of laparoscopy depends on the site and extent of injury.</p><p>Bladder and ureteral injuries occur in 0.03%–0.13% of all gynecologic laparoscopies, with bladder injuries being more common.<xref ref-type="bibr" rid="b96-ijwh-4-383">96</xref> Bladder injury most often occurs during suprapubic trocar placement and during dissection of the vesicocervical junction during hysterectomy. The authors prefer to place the suprapubic port 4 cm superiorly to the pubic symphysis, instead of the more commonly used 2-cm distance. Suspected bladder injury may be confirmed by backfilling the bladder with indigo carmine. Ureteral injury is more likely to be unrecognized during surgery, particularly thermal injury in which ureteral necrosis may be delayed.<xref ref-type="bibr" rid="b100-ijwh-4-383">100</xref>,<xref ref-type="bibr" rid="b102-ijwh-4-383">102</xref> Intravenous indigo carmine may allow the ureters to be more readily visible during laparoscopy, and spillage of the dye indicates injury. Additionally, the authors perform cystoscopy in all cases in which dissection occurred near a ureter. Minor bladder injuries are easily repaired with absorbable suture and Foley drainage. More extensive injury to the bladder or ureters should prompt urologic consultation.</p><p>Neurologic injury in laparoscopy is most commonly the result of positioning.<xref ref-type="bibr" rid="b100-ijwh-4-383">100</xref> Patients in prolonged Trendelenburg or in surgeries lasting more than 4 hours in which the legs are frequently moved up and down are at highest risk of neurologic injury. The most commonly involved nerves affecting the lower extremities are the femoral, sciatic, and peroneal nerves, and injury results from hyperflexion or excessive external hip rotation, or compression at the lateral knee. Upper extremity neurologic injury may occur due to prolonged Trendelenburg position with shoulder braces, hyperextension of the shoulders, or compression of the ulnar nerve at the elbow. Treatment of iatrogenic neuropathy is typically supportive, and most injuries will resolve with time. However, neurologic and physical therapy consultation should be considered depending on the extent of apparent injury.</p><p>Electrosurgery in laparoscopy is a common cause of injury, and surgeons must be familiar with their electrosurgical instruments, their safe use, and their risks. Electrosurgical injury may occur when an instrument is inadvertently activated when out of the visual field. Direct coupling, in which a current is diverted from the instrument to another metal instrument may also cause injury.<xref ref-type="bibr" rid="b103-ijwh-4-383">103</xref> Capacitive coupling with monopolar energy occurs when the energy from an active electrode is passed through the insulating sheath to another conductive device. This risk is most concerning with a combination metal and plastic trocar but may also occur with an all-plastic trocar. An allmetal trocar allows the energy to safely disperse through the abdominal wall. Electrosurgical injuries are increased with the use of higher voltage waveforms. Therefore, the use of a ‘cut’ setting is preferred over ‘coagulation’ wherever possible.</p><p>Finally, the use of CO<sub>2</sub> insufflation carries risks as well, including subcutaneous emphysema, pneumothorax, and gas embolization.<xref ref-type="bibr" rid="b100-ijwh-4-383">100</xref> Careful entry and ensuring that trocars do not slip into the pre-peritoneal space will help to prevent subcutaneous emphysema, which is most often self-limited. Pneumothorax is readily identified by chest radiograph and should be suspected in patients with chest pain and shortness of breath following laparoscopy. Gas embolization is exceedingly rare but may be devastating. A precipitous drop in the patient’s oxygen saturation and/or end-tidal CO<sub>2</sub> or premature ventricular contractions should prompt cessation of the procedure and placement of the patient in left lateral decubitus position with airway and vascular support.</p></sec></sec><sec><title>Conclusion</title><p>Endometriosis is a highly complex disease with varying presentations. A high index of suspicion is the first and foremost tool of the wise diagnostician. For abdominal and pelvic disease, video-assisted laparoscopic surgery is not only preferable but has also become the standard of care due to decreased morbidity when compared with laparotomy. When extragenital or extensive disease is suspected, a multidisciplinary approach is preferred. Complications of laparoscopy may be mitigated with increased surgeon experience and careful attention to surgical detail.</p></sec></body><back><fn-group><fn id="fn1-ijwh-4-383"><p><bold>Disclosures</bold></p><p>The fellowship for minimally invasive gynecologic surgery received an educational grant from Plasma Surgical<sup>®</sup>.</p></fn></fn-group><ref-list><title>References</title><ref id="b1-ijwh-4-383"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Giudice</surname><given-names>LC</given-names></name><name><surname>Kao</surname><given-names>LC</given-names></name></person-group><article-title>Endometriosis</article-title><source>Lancet</source><year>2004</year><volume>364</volume><fpage>1789</fpage><lpage>1799</lpage><pub-id pub-id-type="pmid">15541453</pub-id></element-citation></ref><ref id="b2-ijwh-4-383"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Balasch</surname><given-names>J</given-names></name><name><surname>Creus</surname><given-names>M</given-names></name><name><surname>Fabregues</surname><given-names>F</given-names></name><etal></etal></person-group><article-title>Visible and non-visible endometriosis at laparoscopy in fertile and infertile women and in patients with chronic pelvic pain: a prospective study</article-title><source>Hum Reprod</source><year>1996</year><volume>11</volume><fpage>387</fpage><lpage>391</lpage><pub-id pub-id-type="pmid">8671229</pub-id></element-citation></ref><ref id="b3-ijwh-4-383"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martin</surname><given-names>JD</given-names><suffix>Jr</suffix></name><name><surname>Hauck</surname><given-names>AE</given-names></name></person-group><article-title>Endometriosis in the male</article-title><source>Am Surg</source><year>1985</year><volume>51</volume><fpage>426</fpage><lpage>430</lpage><pub-id pub-id-type="pmid">4014886</pub-id></element-citation></ref><ref id="b4-ijwh-4-383"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Valle</surname><given-names>RF</given-names></name><name><surname>Sciarra</surname><given-names>JJ</given-names></name></person-group><article-title>Endometriosis: treatment strategies</article-title><source>Ann N Y Acad Sci</source><year>2003</year><volume>997</volume><fpage>229</fpage><lpage>239</lpage><pub-id pub-id-type="pmid">14644830</pub-id></element-citation></ref><ref id="b5-ijwh-4-383"><label>5</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Lobo</surname><given-names>R</given-names></name></person-group><article-title>Endometriosis: Etiology, Pathology, Diagnosis and Management</article-title><edition>5th ed</edition><person-group person-group-type="editor"><name><surname>Katz</surname><given-names>VL</given-names></name></person-group><source>Comprehensive Gynecology</source><publisher-loc>Philadelphia, PA</publisher-loc><publisher-name>Mosby Elsevier</publisher-name><year>2007</year><fpage>473</fpage><lpage>499</lpage></element-citation></ref><ref id="b6-ijwh-4-383"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Simpson</surname><given-names>JL</given-names></name><name><surname>Elias</surname><given-names>S</given-names></name><name><surname>Malinak</surname><given-names>LR</given-names></name><name><surname>Buttram</surname><given-names>VC</given-names><suffix>Jr</suffix></name></person-group><article-title>Heritable aspects of endometriosis. I. Genetic studies</article-title><source>Am J Obstet Gynecol</source><year>1980</year><volume>137</volume><fpage>327</fpage><lpage>331</lpage><pub-id pub-id-type="pmid">7377252</pub-id></element-citation></ref><ref id="b7-ijwh-4-383"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schipper</surname><given-names>E</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>Endometriosis and Leiomyoma</article-title><source>World Clin Obstet Gynecol</source><comment><ext-link ext-link-type="uri" xlink:href="www.amazon.co.uk/Clinics-Obstetrics-Gynecology-Endometriosis-Volume/dp/9350358005">www.amazon.co.uk/Clinics-Obstetrics-Gynecology-Endometriosis-Volume/dp/9350358005</ext-link></comment><year>2011</year><volume>1</volume><fpage>164</fpage><lpage>177</lpage></element-citation></ref><ref id="b8-ijwh-4-383"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>JQ</given-names></name><name><surname>Lathi</surname><given-names>RB</given-names></name><name><surname>Lemyre</surname><given-names>M</given-names></name><name><surname>Rodriguez</surname><given-names>HE</given-names></name><name><surname>Nezhat</surname><given-names>CH</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>Coexistence of endometriosis in women with symptomatic leiomyomas</article-title><source>Fertil Steril</source><year>2010</year><volume>94</volume><fpage>720</fpage><lpage>723</lpage><pub-id pub-id-type="pmid">19393995</pub-id></element-citation></ref><ref id="b9-ijwh-4-383"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Uimari</surname><given-names>O</given-names></name><name><surname>Jarvela</surname><given-names>I</given-names></name><name><surname>Ryynanen</surname><given-names>M</given-names></name></person-group><article-title>Do symptomatic endometriosis and uterine fibroids appear together?</article-title><source>J Hum Reprod Sci</source><year>2011</year><volume>4</volume><fpage>34</fpage><lpage>38</lpage><pub-id pub-id-type="pmid">21772738</pub-id></element-citation></ref><ref id="b10-ijwh-4-383"><label>10</label><element-citation publication-type="journal"><article-title>Practice bulletin no. 114: management of endometriosis</article-title><source>Obstet Gynecol</source><year>2010</year><volume>116</volume><fpage>223</fpage><lpage>236</lpage><pub-id pub-id-type="pmid">20567196</pub-id></element-citation></ref><ref id="b11-ijwh-4-383"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kennedy</surname><given-names>S</given-names></name><name><surname>Bergqvist</surname><given-names>A</given-names></name><name><surname>Chapron</surname><given-names>C</given-names></name><etal></etal></person-group><article-title>ESHRE guideline for the diagnosis and treatment of endometriosis</article-title><source>Hum Reprod</source><year>2005</year><volume>20</volume><fpage>2698</fpage><lpage>2704</lpage><pub-id pub-id-type="pmid">15980014</pub-id></element-citation></ref><ref id="b12-ijwh-4-383"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Van Holsbeke</surname><given-names>C</given-names></name><name><surname>Van Calster</surname><given-names>B</given-names></name><name><surname>Guerriero</surname><given-names>S</given-names></name><etal></etal></person-group><article-title>Endometriomas: their ultrasound characteristics</article-title><source>Ultrasound Obstet Gynecol</source><year>2010</year><volume>35</volume><fpage>730</fpage><lpage>740</lpage><pub-id pub-id-type="pmid">20503240</pub-id></element-citation></ref><ref id="b13-ijwh-4-383"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ghezzi</surname><given-names>F</given-names></name><name><surname>Raio</surname><given-names>L</given-names></name><name><surname>Cromi</surname><given-names>A</given-names></name><etal></etal></person-group><article-title>“Kissing ovaries”: a sonographic sign of moderate to severe endometriosis</article-title><source>Fertil Steril</source><year>2005</year><volume>83</volume><fpage>143</fpage><lpage>147</lpage><pub-id pub-id-type="pmid">15652900</pub-id></element-citation></ref><ref id="b14-ijwh-4-383"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moore</surname><given-names>J</given-names></name><name><surname>Copley</surname><given-names>S</given-names></name><name><surname>Morris</surname><given-names>J</given-names></name><name><surname>Lindsell</surname><given-names>D</given-names></name><name><surname>Golding</surname><given-names>S</given-names></name><name><surname>Kennedy</surname><given-names>S</given-names></name></person-group><article-title>A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis</article-title><source>Ultrasound Obstet Gynecol</source><year>2002</year><volume>20</volume><fpage>630</fpage><lpage>634</lpage><pub-id pub-id-type="pmid">12493057</pub-id></element-citation></ref><ref id="b15-ijwh-4-383"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kruse</surname><given-names>C</given-names></name><name><surname>Seyer-Hansen</surname><given-names>M</given-names></name><name><surname>Forman</surname><given-names>A</given-names></name></person-group><article-title>Diagnosis and treatment of rectovaginal endometriosis: An overview</article-title><source>Acta Obstet Gynecol Scand</source><year>2012</year><comment>[Epub ahead of print.]</comment></element-citation></ref><ref id="b16-ijwh-4-383"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Biscaldi</surname><given-names>E</given-names></name><name><surname>Ferrero</surname><given-names>S</given-names></name><name><surname>Fulcheri</surname><given-names>E</given-names></name><name><surname>Ragni</surname><given-names>N</given-names></name><name><surname>Remorgida</surname><given-names>V</given-names></name><name><surname>Rollandi</surname><given-names>GA</given-names></name></person-group><article-title>Multislice CT enteroclysis in the diagnosis of bowel endometriosis</article-title><source>Eur Radiol</source><year>2007</year><volume>17</volume><fpage>211</fpage><lpage>219</lpage><pub-id pub-id-type="pmid">16937103</pub-id></element-citation></ref><ref id="b17-ijwh-4-383"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>CR</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Admon</surname><given-names>D</given-names></name><name><surname>Seidman</surname><given-names>D</given-names></name><name><surname>Nezhat</surname><given-names>CH</given-names></name></person-group><article-title>Laparoscopic Management of Genitourinary Endometriosis</article-title><source>J Am Assoc Gynecol Laparosc</source><year>1994</year><volume>1</volume><fpage>S25</fpage></element-citation></ref><ref id="b18-ijwh-4-383"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chamie</surname><given-names>LP</given-names></name><name><surname>Blasbalg</surname><given-names>R</given-names></name><name><surname>Pereira</surname><given-names>RM</given-names></name><name><surname>Warmbrand</surname><given-names>G</given-names></name><name><surname>Serafini</surname><given-names>PC</given-names></name></person-group><article-title>Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy</article-title><source>Radiographics</source><year>2011</year><volume>31</volume><fpage>E77</fpage><lpage>E100</lpage><pub-id pub-id-type="pmid">21768230</pub-id></element-citation></ref><ref id="b19-ijwh-4-383"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Landi</surname><given-names>S</given-names></name><name><surname>Barbieri</surname><given-names>F</given-names></name><name><surname>Fiaccavento</surname><given-names>A</given-names></name><etal></etal></person-group><article-title>Preoperative double-contrast barium enema in patients with suspected intestinal endometriosis</article-title><source>J Am Assoc Gynecol Laparosc</source><year>2004</year><volume>11</volume><fpage>223</fpage><lpage>228</lpage><pub-id pub-id-type="pmid">15200779</pub-id></element-citation></ref><ref id="b20-ijwh-4-383"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Faccioli</surname><given-names>N</given-names></name><name><surname>Manfredi</surname><given-names>R</given-names></name><name><surname>Mainardi</surname><given-names>P</given-names></name><etal></etal></person-group><article-title>Barium enema evaluation of colonic involvement in endometriosis</article-title><source>AJR Am J Roentgenol</source><year>2008</year><volume>190</volume><fpage>1050</fpage><lpage>1054</lpage><pub-id pub-id-type="pmid">18356454</pub-id></element-citation></ref><ref id="b21-ijwh-4-383"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Faccioli</surname><given-names>N</given-names></name><name><surname>Foti</surname><given-names>G</given-names></name><name><surname>Manfredi</surname><given-names>R</given-names></name><etal></etal></person-group><article-title>Evaluation of colonic involvement in endometriosis: double-contrast barium enema vs magnetic resonance imaging</article-title><source>Abdom Imaging</source><year>2010</year><volume>35</volume><fpage>414</fpage><lpage>421</lpage><pub-id pub-id-type="pmid">19568808</pub-id></element-citation></ref><ref id="b22-ijwh-4-383"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Roseau</surname><given-names>G</given-names></name><name><surname>Dumontier</surname><given-names>I</given-names></name><name><surname>Palazzo</surname><given-names>L</given-names></name><etal></etal></person-group><article-title>Rectosigmoid endometriosis: endoscopic ultrasound features and clinical implications</article-title><source>Endoscopy</source><year>2000</year><volume>32</volume><fpage>525</fpage><lpage>530</lpage><pub-id pub-id-type="pmid">10917184</pub-id></element-citation></ref><ref id="b23-ijwh-4-383"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Squifflet</surname><given-names>J</given-names></name><name><surname>Feger</surname><given-names>C</given-names></name><name><surname>Donnez</surname><given-names>J</given-names></name></person-group><article-title>Diagnosis and imaging of adenomyotic disease of the retroperitoneal space</article-title><source>Gynecol Obstet Invest</source><year>2002</year><volume>54</volume><issue>Suppl 1</issue><fpage>43</fpage><lpage>51</lpage><pub-id pub-id-type="pmid">12441660</pub-id></element-citation></ref><ref id="b24-ijwh-4-383"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>May</surname><given-names>KE</given-names></name><name><surname>Conduit-Hulbert</surname><given-names>SA</given-names></name><name><surname>Villar</surname><given-names>J</given-names></name><name><surname>Kirtley</surname><given-names>S</given-names></name><name><surname>Kennedy</surname><given-names>SH</given-names></name><name><surname>Becker</surname><given-names>CM</given-names></name></person-group><article-title>Peripheral biomarkers of endometriosis: a systematic review</article-title><source>Hum Reprod Update</source><year>2010</year><volume>16</volume><fpage>651</fpage><lpage>674</lpage><pub-id pub-id-type="pmid">20462942</pub-id></element-citation></ref><ref id="b25-ijwh-4-383"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Al-Jefout</surname><given-names>M</given-names></name><name><surname>Dezarnaulds</surname><given-names>G</given-names></name><name><surname>Cooper</surname><given-names>M</given-names></name><etal></etal></person-group><article-title>Diagnosis of endometriosis by detection of nerve fibres in an endometrial biopsy: a double blind study</article-title><source>Hum Reprod</source><year>2009</year><volume>24</volume><fpage>3019</fpage><lpage>3024</lpage><pub-id pub-id-type="pmid">19690352</pub-id></element-citation></ref><ref id="b26-ijwh-4-383"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bokor</surname><given-names>A</given-names></name><name><surname>Kyama</surname><given-names>CM</given-names></name><name><surname>Vercruysse</surname><given-names>L</given-names></name><etal></etal></person-group><article-title>Density of small diameter sensory nerve fibres in endometrium: a semi-invasive diagnostic test for minimal to mild endometriosis</article-title><source>Hum Reprod</source><year>2009</year><volume>24</volume><fpage>3025</fpage><lpage>3032</lpage><pub-id pub-id-type="pmid">19690351</pub-id></element-citation></ref><ref id="b27-ijwh-4-383"><label>27</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Berker</surname><given-names>BH</given-names></name><name><surname>Lee</surname><given-names>K</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>Laparoscopic Treatment of Endometriosis</article-title><person-group person-group-type="editor"><name><surname>Camran Nezhat</surname><given-names>FN</given-names></name><name><surname>Nezhat</surname><given-names>Ceanan</given-names></name></person-group><source>Nezhat’s Operative Gynecologic Laparoscopy and Hysteroscopy</source><publisher-loc>New York</publisher-loc><publisher-name>Cambridge University Press</publisher-name><year>2008</year><fpage>263</fpage><lpage>303</lpage></element-citation></ref><ref id="b28-ijwh-4-383"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kelley</surname><given-names>WE</given-names><suffix>Jr</suffix></name></person-group><article-title>The evolution of laparoscopy and the revolution in surgery in the decade of the 1990s</article-title><source>JSLS</source><year>2008</year><volume>12</volume><fpage>351</fpage><lpage>357</lpage><pub-id pub-id-type="pmid">19275847</pub-id></element-citation></ref><ref id="b29-ijwh-4-383"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Palmer</surname><given-names>R</given-names></name></person-group><article-title>Gynecological celioscopy; its possibilities and present indications</article-title><source>Sem Hop</source><year>1954</year><volume>30</volume><fpage>4440</fpage><lpage>4443</lpage><comment>French</comment><pub-id pub-id-type="pmid">13225846</pub-id></element-citation></ref><ref id="b30-ijwh-4-383"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pappas</surname><given-names>TN</given-names></name><name><surname>Jacobs</surname><given-names>DO</given-names></name></person-group><article-title>Laparoscopic resection for colon cancer – the end of the beginning?</article-title><source>N Engl J Med</source><year>2004</year><volume>350</volume><fpage>2091</fpage><lpage>2092</lpage><pub-id pub-id-type="pmid">15141049</pub-id></element-citation></ref><ref id="b31-ijwh-4-383"><label>31</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Page</surname><given-names>B</given-names></name></person-group><article-title>Camran Nezhat and the Advent of Advanced Operative Video-laparoscopy</article-title><person-group person-group-type="editor"><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><source>Nezhat’s History of Endoscopy</source><publisher-loc>Tuttlingen, Germany</publisher-loc><publisher-name>Endo:Press</publisher-name><volume>2011</volume><fpage>159187</fpage></element-citation></ref><ref id="b32-ijwh-4-383"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Crowgey</surname><given-names>SR</given-names></name><name><surname>Garrison</surname><given-names>CP</given-names></name></person-group><article-title>Surgical treatment of endometriosis via laser laparoscopy</article-title><source>Fertil Steril</source><year>1986</year><volume>45</volume><fpage>778</fpage><lpage>783</lpage><pub-id pub-id-type="pmid">2940121</pub-id></element-citation></ref><ref id="b33-ijwh-4-383"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Crowgey</surname><given-names>SR</given-names></name><name><surname>Garrison</surname><given-names>CP</given-names></name></person-group><article-title>Surgical treatment of endometriosis via laser laparoscopy and videolaseroscopy</article-title><source>Contrib Gynecol Obstet</source><year>1987</year><volume>16</volume><fpage>303</fpage><lpage>312</lpage><pub-id pub-id-type="pmid">2961509</pub-id></element-citation></ref><ref id="b34-ijwh-4-383"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name></person-group><article-title>Operative laparoscopy (minimally invasive surgery): state of the art</article-title><source>J Gynecol Surg</source><year>1992</year><volume>8</volume><fpage>111</fpage><lpage>141</lpage><pub-id pub-id-type="pmid">10171579</pub-id></element-citation></ref><ref id="b35-ijwh-4-383"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vilos</surname><given-names>GA</given-names></name><name><surname>Ternamian</surname><given-names>A</given-names></name><name><surname>Dempster</surname><given-names>J</given-names></name><name><surname>Laberge</surname><given-names>PY</given-names></name></person-group><collab>The Society of Obstetricians Gynaecologists of Canada</collab><article-title>Laparoscopic entry: a review of techniques, technologies, and complications</article-title><source>J Obstet Gynaecol Can</source><year>2007</year><volume>29</volume><fpage>433</fpage><lpage>465</lpage><pub-id pub-id-type="pmid">17493376</pub-id></element-citation></ref><ref id="b36-ijwh-4-383"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>CR</given-names></name><name><surname>Nezhat</surname><given-names>FR</given-names></name><name><surname>Silfen</surname><given-names>SL</given-names></name></person-group><article-title>Videolaseroscopy. The CO2 laser for advanced operative laparoscopy</article-title><source>Obstet Gynecol Clin North Am</source><year>1991</year><volume>18</volume><fpage>585</fpage><lpage>604</lpage><pub-id pub-id-type="pmid">1835530</pub-id></element-citation></ref><ref id="b37-ijwh-4-383"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bateman</surname><given-names>BG</given-names></name><name><surname>Kolp</surname><given-names>LA</given-names></name><name><surname>Mills</surname><given-names>S</given-names></name></person-group><article-title>Endoscopic versus laparotomy management of endometriomas</article-title><source>Fertil Steril</source><year>1994</year><volume>62</volume><fpage>690</fpage><lpage>695</lpage><pub-id pub-id-type="pmid">7926074</pub-id></element-citation></ref><ref id="b38-ijwh-4-383"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Catalano</surname><given-names>GF</given-names></name><name><surname>Marana</surname><given-names>R</given-names></name><name><surname>Caruana</surname><given-names>P</given-names></name><name><surname>Muzii</surname><given-names>L</given-names></name><name><surname>Mancuso</surname><given-names>S</given-names></name></person-group><article-title>Laparoscopy versus microsurgery by laparotomy for excision of ovarian cysts in patients with moderate or severe endometriosis</article-title><source>J Am Assoc Gynecol Laparosc</source><year>1996</year><volume>3</volume><fpage>267</fpage><lpage>270</lpage><pub-id pub-id-type="pmid">9050638</pub-id></element-citation></ref><ref id="b39-ijwh-4-383"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Crosignani</surname><given-names>PG</given-names></name><name><surname>Vercellini</surname><given-names>P</given-names></name><name><surname>Biffignandi</surname><given-names>F</given-names></name><name><surname>Costantini</surname><given-names>W</given-names></name><name><surname>Cortesi</surname><given-names>I</given-names></name><name><surname>Imparato</surname><given-names>E</given-names></name></person-group><article-title>Laparoscopy versus laparotomy in conservative surgical treatment for severe endometriosis</article-title><source>Fertil Steril</source><year>1996</year><volume>66</volume><fpage>706</fpage><lpage>711</lpage><pub-id pub-id-type="pmid">8893671</pub-id></element-citation></ref><ref id="b40-ijwh-4-383"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Busacca</surname><given-names>M</given-names></name><name><surname>Fedele</surname><given-names>L</given-names></name><name><surname>Bianchi</surname><given-names>S</given-names></name><etal></etal></person-group><article-title>Surgical treatment of recurrent endometriosis: laparotomy versus laparoscopy</article-title><source>Hum Reprod</source><year>1998</year><volume>13</volume><fpage>2271</fpage><lpage>2274</lpage><pub-id pub-id-type="pmid">9756309</pub-id></element-citation></ref><ref id="b41-ijwh-4-383"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Adamson</surname><given-names>GD</given-names></name><name><surname>Subak</surname><given-names>LL</given-names></name><name><surname>Pasta</surname><given-names>DJ</given-names></name><name><surname>Hurd</surname><given-names>SJ</given-names></name><name><surname>von Franque</surname><given-names>O</given-names></name><name><surname>Rodriguez</surname><given-names>BD</given-names></name></person-group><article-title>Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata</article-title><source>Fertil Steril</source><year>1992</year><volume>57</volume><fpage>965</fpage><lpage>973</lpage><pub-id pub-id-type="pmid">1533375</pub-id></element-citation></ref><ref id="b42-ijwh-4-383"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mais</surname><given-names>V</given-names></name><name><surname>Ajossa</surname><given-names>S</given-names></name><name><surname>Guerriero</surname><given-names>S</given-names></name><etal></etal></person-group><article-title>Laparoscopic management of endometriomas: a randomized trial versus laparotomy</article-title><source>J Gynecol Surg</source><year>1996</year><volume>12</volume><fpage>41</fpage><lpage>46</lpage></element-citation></ref><ref id="b43-ijwh-4-383"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Busacca</surname><given-names>M</given-names></name><name><surname>Vignali</surname><given-names>M</given-names></name></person-group><article-title>Endometrioma excision and ovarian reserve: a dangerous relation</article-title><source>J Minim Invasive Gynecol</source><year>2009</year><volume>16</volume><fpage>142</fpage><lpage>148</lpage><pub-id pub-id-type="pmid">19249702</pub-id></element-citation></ref><ref id="b44-ijwh-4-383"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schipper</surname><given-names>E</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>Endometriomas</article-title><source>World Clin Obstet Gynecol</source><comment><ext-link ext-link-type="uri" xlink:href="www.amazon.co.uk/Clinics-Obstetrics-Gynecology-Endometriosis-Volume/dp/9350358005">www.amazon.co.uk/Clinics-Obstetrics-Gynecology-Endometriosis-Volume/dp/9350358005</ext-link></comment><year>2011</year><volume>1</volume><fpage>137</fpage><lpage>142</lpage></element-citation></ref><ref id="b45-ijwh-4-383"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martin</surname><given-names>A</given-names></name><name><surname>Torrent</surname><given-names>A</given-names></name></person-group><article-title>Laparoscopic nerve-sparing radical trachelectomy: surgical technique and outcome</article-title><source>J Minim Invasive Gynecol</source><year>2010</year><volume>17</volume><fpage>37</fpage><lpage>41</lpage><pub-id pub-id-type="pmid">20129330</pub-id></element-citation></ref><ref id="b46-ijwh-4-383"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Possover</surname><given-names>M</given-names></name><name><surname>Stober</surname><given-names>S</given-names></name><name><surname>Plaul</surname><given-names>K</given-names></name><name><surname>Schneider</surname><given-names>A</given-names></name></person-group><article-title>Identification and preservation of the motoric innervation of the bladder in radical hysterectomy type III</article-title><source>Gynecol Oncol</source><year>2000</year><volume>79</volume><fpage>154</fpage><lpage>157</lpage><pub-id pub-id-type="pmid">11063637</pub-id></element-citation></ref><ref id="b47-ijwh-4-383"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Demir</surname><given-names>B</given-names></name><name><surname>Senerbahce</surname><given-names>Z</given-names></name><name><surname>Guzel</surname><given-names>AI</given-names></name><name><surname>Demir</surname><given-names>S</given-names></name><name><surname>Kilinc</surname><given-names>N</given-names></name></person-group><article-title>Abdominal wall endometriosis following cesarean section: report of five cases</article-title><source>Clin Exp Obstet Gynecol</source><year>2011</year><volume>38</volume><fpage>288</fpage><lpage>290</lpage><pub-id pub-id-type="pmid">21995169</pub-id></element-citation></ref><ref id="b48-ijwh-4-383"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lipscomb</surname><given-names>GH</given-names></name><name><surname>Givens</surname><given-names>VM</given-names></name><name><surname>Smith</surname><given-names>WE</given-names></name></person-group><article-title>Endometrioma occurring in abdominal wall incisions after cesarean section</article-title><source>J Reprod Med</source><year>2011</year><volume>56</volume><fpage>44</fpage><lpage>46</lpage><pub-id pub-id-type="pmid">21366126</pub-id></element-citation></ref><ref id="b49-ijwh-4-383"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Berker</surname><given-names>B</given-names></name><name><surname>Lashay</surname><given-names>N</given-names></name><name><surname>Davarpanah</surname><given-names>R</given-names></name><name><surname>Marziali</surname><given-names>M</given-names></name><name><surname>Nezhat</surname><given-names>CH</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>Laparoscopic appendectomy in patients with endometriosis</article-title><source>J Minim Invasive Gynecol</source><year>2005</year><volume>12</volume><fpage>206</fpage><lpage>209</lpage><pub-id pub-id-type="pmid">15922976</pub-id></element-citation></ref><ref id="b50-ijwh-4-383"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stegmann</surname><given-names>BJ</given-names></name><name><surname>Sinaii</surname><given-names>N</given-names></name><name><surname>Liu</surname><given-names>S</given-names></name><etal></etal></person-group><article-title>Using location, color, size, and depth to characterize and identify endometriosis lesions in a cohort of 133 women</article-title><source>Fertil Steril</source><year>2008</year><volume>89</volume><fpage>1632</fpage><lpage>1636</lpage><pub-id pub-id-type="pmid">17662280</pub-id></element-citation></ref><ref id="b51-ijwh-4-383"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Nezhat</surname><given-names>FR</given-names></name></person-group><article-title>Safe laser endoscopic excision or vaporization of peritoneal endometriosis</article-title><source>Fertil Steril</source><year>1989</year><volume>52</volume><fpage>149</fpage><lpage>151</lpage><pub-id pub-id-type="pmid">2526028</pub-id></element-citation></ref><ref id="b52-ijwh-4-383"><label>52</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Hood</surname><given-names>J</given-names></name><name><surname>Winer</surname><given-names>W</given-names></name><name><surname>Nexhat</surname><given-names>F</given-names></name><name><surname>Crowgey</surname><given-names>SR</given-names></name><name><surname>Garrison</surname><given-names>CP</given-names></name></person-group><article-title>Videolaseroscopy and laser laparoscopy in gynaecology</article-title><source>Br J Hosp Med</source><year>1987</year><volume>38</volume><fpage>219</fpage><lpage>224</lpage><pub-id pub-id-type="pmid">2960410</pub-id></element-citation></ref><ref id="b53-ijwh-4-383"><label>53</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Kho</surname><given-names>KA</given-names></name><name><surname>Morozov</surname><given-names>V</given-names></name></person-group><article-title>Use of neutral argon plasma in the laparoscopic treatment of endometriosis</article-title><source>JSLS</source><year>2009</year><volume>13</volume><fpage>479</fpage><lpage>483</lpage><pub-id pub-id-type="pmid">20202387</pub-id></element-citation></ref><ref id="b54-ijwh-4-383"><label>54</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vercellini</surname><given-names>P</given-names></name></person-group><article-title>Endometriosis: what a pain it is</article-title><source>Semin Reprod Endocrinol</source><year>1997</year><volume>15</volume><fpage>251</fpage><lpage>261</lpage><pub-id pub-id-type="pmid">9383834</pub-id></element-citation></ref><ref id="b55-ijwh-4-383"><label>55</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Arenas</surname><given-names>AKJB</given-names></name></person-group><source>Donald School Textbook of Transvaginal Sonography</source><publisher-loc>New Delhi, India</publisher-loc><publisher-name>Jaypee Brothers Medical Publishers</publisher-name><year>2005</year></element-citation></ref><ref id="b56-ijwh-4-383"><label>56</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Datta</surname><given-names>MS</given-names></name><name><surname>Hanson</surname><given-names>V</given-names></name><name><surname>Pejovic</surname><given-names>T</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>The relationship of endometriosis and ovarian malignancy: a review</article-title><source>Fertil Steril</source><year>2008</year><volume>90</volume><fpage>1559</fpage><lpage>1570</lpage><pub-id pub-id-type="pmid">18993168</pub-id></element-citation></ref><ref id="b57-ijwh-4-383"><label>57</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Van Gorp</surname><given-names>T</given-names></name><name><surname>Amant</surname><given-names>F</given-names></name><name><surname>Neven</surname><given-names>P</given-names></name><name><surname>Vergote</surname><given-names>I</given-names></name><name><surname>Moerman</surname><given-names>P</given-names></name></person-group><article-title>Endometriosis and the development of malignant tumours of the pelvis. A review of literature</article-title><source>Best Pract Res Clin Obstet Gynaecol</source><year>2004</year><volume>18</volume><fpage>349</fpage><lpage>371</lpage><pub-id pub-id-type="pmid">15157647</pub-id></element-citation></ref><ref id="b58-ijwh-4-383"><label>58</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Hajhosseini</surname><given-names>B</given-names></name><name><surname>King</surname><given-names>LP</given-names></name></person-group><article-title>Robotic-assisted laparoscopic treatment of bowel, bladder, and ureteral endometriosis</article-title><source>JSLS</source><year>2011</year><volume>15</volume><fpage>387</fpage><lpage>392</lpage><pub-id pub-id-type="pmid">21985730</pub-id></element-citation></ref><ref id="b59-ijwh-4-383"><label>59</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Lewis</surname><given-names>M</given-names></name><name><surname>Kotikela</surname><given-names>S</given-names></name><name><surname>Veeraswamy</surname><given-names>A</given-names></name><name><surname>Saadat</surname><given-names>L</given-names></name><name><surname>Hajhosseini</surname><given-names>B</given-names></name></person-group><article-title>Robotic versus standard laparoscopy for the treatment of endometriosis</article-title><source>Fertil Steril</source><year>2010</year><volume>94</volume><fpage>2758</fpage><lpage>2760</lpage><pub-id pub-id-type="pmid">20537632</pub-id></element-citation></ref><ref id="b60-ijwh-4-383"><label>60</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ercoli</surname><given-names>A</given-names></name><name><surname>D’Asta</surname><given-names>M</given-names></name><name><surname>Fagotti</surname><given-names>A</given-names></name><etal></etal></person-group><article-title>Robotic treatment of colorectal endometriosis: technique, feasibility and short-term results</article-title><source>Hum Reprod</source><year>2012</year><volume>27</volume><fpage>722</fpage><lpage>726</lpage><pub-id pub-id-type="pmid">22238113</pub-id></element-citation></ref><ref id="b61-ijwh-4-383"><label>61</label><element-citation publication-type="journal"><article-title>Revised American Society for Reproductive Medicine classification of endometriosis: 1996</article-title><source>Fertil Steril</source><year>1997</year><volume>67</volume><fpage>817</fpage><lpage>821</lpage><pub-id pub-id-type="pmid">9130884</pub-id></element-citation></ref><ref id="b62-ijwh-4-383"><label>62</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>JY</given-names></name><name><surname>Kwon</surname><given-names>JE</given-names></name><name><surname>Kim</surname><given-names>HJ</given-names></name><name><surname>Park</surname><given-names>K</given-names></name></person-group><article-title>Fine-needle aspiration cytology of abdominal wall endometriosis: A Study of 10 Cases</article-title><source>Diagn Cytopathol</source><year>2011</year><comment>[Epub ahead of print.]</comment></element-citation></ref><ref id="b63-ijwh-4-383"><label>63</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gupta</surname><given-names>RK</given-names></name></person-group><article-title>Fine-needle aspiration cytodiagnosis of endometriosis in cesarean section scar and rectus sheath mass lesions – a study of seven cases</article-title><source>Diagn Cytopathol</source><year>2008</year><volume>36</volume><fpage>224</fpage><lpage>226</lpage><pub-id pub-id-type="pmid">18335552</pub-id></element-citation></ref><ref id="b64-ijwh-4-383"><label>64</label><element-citation publication-type="journal"><collab>Practice Committee of the American Society for Reproductive Medicine</collab><article-title>Endometriosis and infertility</article-title><source>Fertil Steril</source><year>2006</year><volume>86</volume><fpage>S156</fpage><lpage>S160</lpage><pub-id pub-id-type="pmid">17055813</pub-id></element-citation></ref><ref id="b65-ijwh-4-383"><label>65</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Batt</surname><given-names>RE</given-names></name><name><surname>Smith</surname><given-names>RA</given-names></name></person-group><article-title>Embryologic theory of histogenesis of endometriosis in peritoneal pockets</article-title><source>Obstet Gynecol Clin North Am</source><year>1989</year><volume>16</volume><fpage>15</fpage><lpage>28</lpage><pub-id pub-id-type="pmid">2664615</pub-id></element-citation></ref><ref id="b66-ijwh-4-383"><label>66</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Adamyan</surname><given-names>L</given-names></name></person-group><article-title>Additional international perspectives</article-title><person-group person-group-type="editor"><name><surname>Nichols</surname><given-names>D</given-names></name></person-group><source>Gynecologic Obstetric Surgery</source><publisher-loc>St Louis, MO</publisher-loc><publisher-name>Mosby Year Book</publisher-name><year>1993</year><fpage>1167</fpage><lpage>1182</lpage></element-citation></ref><ref id="b67-ijwh-4-383"><label>67</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chapron</surname><given-names>C</given-names></name><name><surname>Fauconnier</surname><given-names>A</given-names></name><name><surname>Vieira</surname><given-names>M</given-names></name><etal></etal></person-group><article-title>Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification</article-title><source>Hum Reprod</source><year>2003</year><volume>18</volume><fpage>157</fpage><lpage>161</lpage><pub-id pub-id-type="pmid">12525459</pub-id></element-citation></ref><ref id="b68-ijwh-4-383"><label>68</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Haas</surname><given-names>D</given-names></name><name><surname>Chvatal</surname><given-names>R</given-names></name><name><surname>Habelsberger</surname><given-names>A</given-names></name><name><surname>Wurm</surname><given-names>P</given-names></name><name><surname>Schimetta</surname><given-names>W</given-names></name><name><surname>Oppelt</surname><given-names>P</given-names></name></person-group><article-title>Comparison of revised American Fertility Society and ENZIAN staging: a critical evaluation of classifications of endometriosis on the basis of our patient population</article-title><source>Fertil Steril</source><year>2011</year><volume>95</volume><fpage>1574</fpage><lpage>1578</lpage><pub-id pub-id-type="pmid">21315335</pub-id></element-citation></ref><ref id="b69-ijwh-4-383"><label>69</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Adamson</surname><given-names>GD</given-names></name><name><surname>Pasta</surname><given-names>DJ</given-names></name></person-group><article-title>Endometriosis fertility index: the new, validated endometriosis staging system</article-title><source>Fertil Steril</source><year>2010</year><volume>94</volume><fpage>1609</fpage><lpage>1615</lpage><pub-id pub-id-type="pmid">19931076</pub-id></element-citation></ref><ref id="b70-ijwh-4-383"><label>70</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Adamson</surname><given-names>GD</given-names></name></person-group><article-title>Endometriosis classification: an update</article-title><source>Curr Opin Obstet Gynecol</source><year>2011</year><volume>23</volume><fpage>213</fpage><lpage>220</lpage><pub-id pub-id-type="pmid">21666464</pub-id></element-citation></ref><ref id="b71-ijwh-4-383"><label>71</label><element-citation publication-type="webpage"><source>Ad hoc Committees: Endometriosis Classification</source><year>2011</year><comment>Available at: <ext-link ext-link-type="uri" xlink:href="www.aagl.org/Committees-Ad-Hoc:">www.aagl.org/Committees-Ad-Hoc:</ext-link></comment><date-in-citation>Accessed April 14, 2012</date-in-citation></element-citation></ref><ref id="b72-ijwh-4-383"><label>72</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Coccia</surname><given-names>ME</given-names></name><name><surname>Rizzello</surname><given-names>F</given-names></name></person-group><article-title>Ultrasonographic staging: a new staging system for deep endometriosis</article-title><source>Ann N Y Acad Sci</source><year>2011</year><volume>1221</volume><fpage>61</fpage><lpage>69</lpage><pub-id pub-id-type="pmid">21401631</pub-id></element-citation></ref><ref id="b73-ijwh-4-383"><label>73</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Douglas</surname><given-names>C</given-names></name><name><surname>Rotimi</surname><given-names>O</given-names></name></person-group><article-title>Extragenital endometriosis – a clinicopathological review of a Glasgow hospital experience with case illustrations</article-title><source>J Obstet Gynaecol</source><year>2004</year><volume>24</volume><fpage>804</fpage><lpage>808</lpage><pub-id pub-id-type="pmid">15763794</pub-id></element-citation></ref><ref id="b74-ijwh-4-383"><label>74</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Pennington</surname><given-names>E</given-names></name><name><surname>Ambroze</surname><given-names>W</given-names><suffix>Jr</suffix></name></person-group><article-title>Laparoscopic segmental resection for infiltrating endometriosis of the rectosigmoid colon: a preliminary report</article-title><source>Surg Laparosc Endosc</source><year>1992</year><volume>2</volume><fpage>212</fpage><lpage>216</lpage><pub-id pub-id-type="pmid">1341533</pub-id></element-citation></ref><ref id="b75-ijwh-4-383"><label>75</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Pennington</surname><given-names>E</given-names></name></person-group><article-title>Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaparoscopy and the CO2 laser</article-title><source>Br J Obstet Gynaecol</source><year>1992</year><volume>99</volume><fpage>664</fpage><lpage>667</lpage><pub-id pub-id-type="pmid">1390472</pub-id></element-citation></ref><ref id="b76-ijwh-4-383"><label>76</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Pennington</surname><given-names>E</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Silfen</surname><given-names>SL</given-names></name></person-group><article-title>Laparoscopically assisted anterior rectal wall resection and reanastomosis for deeply infiltrating endometriosis</article-title><source>Surg Laparosc Endosc</source><year>1991</year><volume>1</volume><fpage>106</fpage><lpage>108</lpage><pub-id pub-id-type="pmid">1669382</pub-id></element-citation></ref><ref id="b77-ijwh-4-383"><label>77</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Pennington</surname><given-names>E</given-names></name><name><surname>Nezhat</surname><given-names>CH</given-names></name><name><surname>Ambroze</surname><given-names>W</given-names></name></person-group><article-title>Laparoscopic disk excision and primary repair of the anterior rectal wall for the treatment of full-thickness bowel endometriosis</article-title><source>Surg Endosc</source><year>1994</year><volume>8</volume><fpage>682</fpage><lpage>685</lpage><pub-id pub-id-type="pmid">8059307</pub-id></element-citation></ref><ref id="b78-ijwh-4-383"><label>78</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Pennington</surname><given-names>E</given-names></name></person-group><article-title>Laparoscopic proctectomy for infiltrating endometriosis of the rectum</article-title><source>Fertil Steril</source><year>1992</year><volume>57</volume><fpage>1129</fpage><lpage>1132</lpage><pub-id pub-id-type="pmid">1533374</pub-id></element-citation></ref><ref id="b79-ijwh-4-383"><label>79</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Veeraswamy</surname><given-names>A</given-names></name><name><surname>Lewis</surname><given-names>M</given-names></name><name><surname>Mann</surname><given-names>A</given-names></name><name><surname>Kotikela</surname><given-names>S</given-names></name><name><surname>Hajhosseini</surname><given-names>B</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>Extragenital endometriosis</article-title><source>Clin Obstet Gynecol</source><year>2010</year><volume>53</volume><fpage>449</fpage><lpage>466</lpage><pub-id pub-id-type="pmid">20436322</pub-id></element-citation></ref><ref id="b80-ijwh-4-383"><label>80</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>CH</given-names></name><name><surname>Malik</surname><given-names>S</given-names></name><name><surname>Osias</surname><given-names>J</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>Laparoscopic management of 15 patients with infiltrating endometriosis of the bladder and a case of primary intravesical endometrioid adenosarcoma</article-title><source>Fertil Steril</source><year>2002</year><volume>78</volume><fpage>872</fpage><lpage>875</lpage><pub-id pub-id-type="pmid">12372471</pub-id></element-citation></ref><ref id="b81-ijwh-4-383"><label>81</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>CR</given-names></name><name><surname>Nezhat</surname><given-names>FR</given-names></name></person-group><article-title>Laparoscopic segmental bladder resection for endometriosis: a report of two cases</article-title><source>Obstet Gynecol</source><year>1993</year><volume>81</volume><fpage>882</fpage><lpage>884</lpage><pub-id pub-id-type="pmid">8469507</pub-id></element-citation></ref><ref id="b82-ijwh-4-383"><label>82</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Green</surname><given-names>B</given-names></name></person-group><article-title>Laparoscopic treatment of obstructed ureter due to endometriosis by resection and ureteroureterostomy: a case report</article-title><source>J Urol</source><year>1992</year><volume>148</volume><fpage>865</fpage><lpage>868</lpage><pub-id pub-id-type="pmid">1387420</pub-id></element-citation></ref><ref id="b83-ijwh-4-383"><label>83</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Joseph</surname><given-names>J</given-names></name><name><surname>Sahn</surname><given-names>SA</given-names></name></person-group><article-title>Thoracic endometriosis syndrome: new observations from an analysis of 110 cases</article-title><source>Am J Med</source><year>1996</year><volume>100</volume><fpage>164</fpage><lpage>170</lpage><pub-id pub-id-type="pmid">8629650</pub-id></element-citation></ref><ref id="b84-ijwh-4-383"><label>84</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Korom</surname><given-names>S</given-names></name><name><surname>Canyurt</surname><given-names>H</given-names></name><name><surname>Missbach</surname><given-names>A</given-names></name><etal></etal></person-group><article-title>Catamenial pneumothorax revisited: clinical approach and systematic review of the literature</article-title><source>J Thorac Cardiovasc Surg</source><year>2004</year><volume>128</volume><fpage>502</fpage><lpage>508</lpage><pub-id pub-id-type="pmid">15457149</pub-id></element-citation></ref><ref id="b85-ijwh-4-383"><label>85</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alifano</surname><given-names>M</given-names></name><name><surname>Roth</surname><given-names>T</given-names></name><name><surname>Broet</surname><given-names>SC</given-names></name><name><surname>Schussler</surname><given-names>O</given-names></name><name><surname>Magdeleinat</surname><given-names>P</given-names></name><name><surname>Regnard</surname><given-names>JF</given-names></name></person-group><article-title>Catamenial pneumothorax: a prospective study</article-title><source>Chest</source><year>2003</year><volume>124</volume><fpage>1004</fpage><lpage>1008</lpage><pub-id pub-id-type="pmid">12970030</pub-id></element-citation></ref><ref id="b86-ijwh-4-383"><label>86</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hilaris</surname><given-names>GE</given-names></name><name><surname>Payne</surname><given-names>CK</given-names></name><name><surname>Osias</surname><given-names>J</given-names></name><name><surname>Cannon</surname><given-names>W</given-names></name><name><surname>Nezhat</surname><given-names>CR</given-names></name></person-group><article-title>Synchronous rectovaginal, urinary bladder, and pulmonary endometriosis</article-title><source>JSLS</source><year>2005</year><volume>9</volume><fpage>78</fpage><lpage>82</lpage><pub-id pub-id-type="pmid">15791976</pub-id></element-citation></ref><ref id="b87-ijwh-4-383"><label>87</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bagan</surname><given-names>P</given-names></name><name><surname>Le Pimpec Barthes</surname><given-names>F</given-names></name><name><surname>Assouad</surname><given-names>J</given-names></name><name><surname>Souilamas</surname><given-names>R</given-names></name><name><surname>Riquet</surname><given-names>M</given-names></name></person-group><article-title>Catamenial pneumothorax: retrospective study of surgical treatment</article-title><source>Ann Thorac Surg</source><year>2003</year><volume>75</volume><fpage>378</fpage><lpage>81</lpage><comment>discusssion 81</comment><pub-id pub-id-type="pmid">12607643</pub-id></element-citation></ref><ref id="b88-ijwh-4-383"><label>88</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Levy</surname><given-names>JS</given-names></name></person-group><article-title>Laparoscopic treatment of symptomatic diaphragmatic endometriosis: a case report</article-title><source>Fertil Steril</source><year>1992</year><volume>58</volume><fpage>614</fpage><lpage>616</lpage><pub-id pub-id-type="pmid">1387851</pub-id></element-citation></ref><ref id="b89-ijwh-4-383"><label>89</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Nicoll</surname><given-names>LM</given-names></name><name><surname>Bhagan</surname><given-names>L</given-names></name><etal></etal></person-group><article-title>Endometriosis of the diaphragm: four cases treated with a combination of laparoscopy and thoracoscopy</article-title><source>J Minim Invasive Gynecol</source><year>2009</year><volume>16</volume><fpage>573</fpage><lpage>580</lpage><pub-id pub-id-type="pmid">19835800</pub-id></element-citation></ref><ref id="b90-ijwh-4-383"><label>90</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Seidman</surname><given-names>DS</given-names></name><name><surname>Nezhat</surname><given-names>F</given-names></name></person-group><article-title>Laparoscopic surgical management of diaphragmatic endometriosis</article-title><source>Fertil Steril</source><year>1998</year><volume>69</volume><fpage>1048</fpage><lpage>1055</lpage><pub-id pub-id-type="pmid">9627291</pub-id></element-citation></ref><ref id="b91-ijwh-4-383"><label>91</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>C</given-names></name><name><surname>Kazerooni</surname><given-names>T</given-names></name><name><surname>Berker</surname><given-names>B</given-names></name><name><surname>Lashay</surname><given-names>N</given-names></name><name><surname>Fernandez</surname><given-names>S</given-names></name><name><surname>Marziali</surname><given-names>M</given-names></name></person-group><article-title>Laparoscopic management of hepatic endometriosis: report of two cases and review of the literature</article-title><source>J Minim Invasive Gynecol</source><year>2005</year><volume>12</volume><fpage>196</fpage><lpage>200</lpage><pub-id pub-id-type="pmid">15922974</pub-id></element-citation></ref><ref id="b92-ijwh-4-383"><label>92</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cho</surname><given-names>JE</given-names></name><name><surname>Nezhat</surname><given-names>FR</given-names></name></person-group><article-title>Robotics and gynecologic oncology: review of the literature</article-title><source>J Minim Invasive Gynecol</source><year>2009</year><volume>16</volume><fpage>669</fpage><lpage>681</lpage><pub-id pub-id-type="pmid">19896593</pub-id></element-citation></ref><ref id="b93-ijwh-4-383"><label>93</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Khan</surname><given-names>AW</given-names></name><name><surname>Craig</surname><given-names>M</given-names></name><name><surname>Jarmulowicz</surname><given-names>M</given-names></name><name><surname>Davidson</surname><given-names>BR</given-names></name></person-group><article-title>Liver tumours due to endometriosis and endometrial stromal sarcoma</article-title><source>HPB (Oxford)</source><year>2002</year><volume>4</volume><fpage>43</fpage><lpage>45</lpage><pub-id pub-id-type="pmid">18333152</pub-id></element-citation></ref><ref id="b94-ijwh-4-383"><label>94</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fernandes</surname><given-names>H</given-names></name><name><surname>Marla</surname><given-names>NJ</given-names></name><name><surname>Pailoor</surname><given-names>K</given-names></name><name><surname>Kini</surname><given-names>R</given-names></name></person-group><article-title>Primary umbilical endometriosis – Diagnosis by fine needle aspiration</article-title><source>J Cytol</source><year>2011</year><volume>28</volume><fpage>214</fpage><lpage>216</lpage><pub-id pub-id-type="pmid">22090700</pub-id></element-citation></ref><ref id="b95-ijwh-4-383"><label>95</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chapron</surname><given-names>C</given-names></name><name><surname>Fauconnier</surname><given-names>A</given-names></name><name><surname>Goffinet</surname><given-names>F</given-names></name><name><surname>Bréart</surname><given-names>G</given-names></name><name><surname>Dubuisson</surname><given-names>JB</given-names></name></person-group><article-title>Laparoscopic surgery is not inherently dangerous for patients presenting with benign gynaecologic pathology. Results of a meta-analysis</article-title><source>Hum Reprod</source><year>2002</year><volume>17</volume><fpage>1334</fpage><lpage>1342</lpage><pub-id pub-id-type="pmid">11980761</pub-id></element-citation></ref><ref id="b96-ijwh-4-383"><label>96</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chapron</surname><given-names>C</given-names></name><name><surname>Querleu</surname><given-names>D</given-names></name><name><surname>Bruhat</surname><given-names>MA</given-names></name><etal></etal></person-group><article-title>Surgical complications of diagnostic and operative gynaecological laparoscopy: a series of 29,966 cases</article-title><source>Hum Reprod</source><year>1998</year><volume>13</volume><fpage>867</fpage><lpage>872</lpage><pub-id pub-id-type="pmid">9619539</pub-id></element-citation></ref><ref id="b97-ijwh-4-383"><label>97</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jansen</surname><given-names>FW</given-names></name><name><surname>Kapiteyn</surname><given-names>K</given-names></name><name><surname>Trimbos-Kemper</surname><given-names>T</given-names></name><name><surname>Hermans</surname><given-names>J</given-names></name><name><surname>Trimbos</surname><given-names>JB</given-names></name></person-group><article-title>Complications of laparoscopy: a prospective multicentre observational study</article-title><source>Br J Obstet Gynaecol</source><year>1997</year><volume>104</volume><fpage>595</fpage><lpage>600</lpage><pub-id pub-id-type="pmid">9166204</pub-id></element-citation></ref><ref id="b98-ijwh-4-383"><label>98</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ahmad</surname><given-names>G</given-names></name><name><surname>O’Flynn</surname><given-names>H</given-names></name><name><surname>Duffy</surname><given-names>JM</given-names></name><name><surname>Phillips</surname><given-names>K</given-names></name><name><surname>Watson</surname><given-names>A</given-names></name></person-group><article-title>Laparoscopic entry techniques</article-title><source>Cochrane Database Syst Rev</source><year>2012</year><volume>2</volume><fpage>CD006583</fpage><pub-id pub-id-type="pmid">22336819</pub-id></element-citation></ref><ref id="b99-ijwh-4-383"><label>99</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nezhat</surname><given-names>F</given-names></name><name><surname>Brill</surname><given-names>AI</given-names></name><name><surname>Nezhat</surname><given-names>CH</given-names></name><name><surname>Nezhat</surname><given-names>A</given-names></name><name><surname>Seidman</surname><given-names>DS</given-names></name><name><surname>Nezhat</surname><given-names>C</given-names></name></person-group><article-title>Laparoscopic appraisal of the anatomic relationship of the umbilicus to the aortic bifurcation</article-title><source>J Am Assoc Gynecol Laparosc</source><year>1998</year><volume>5</volume><fpage>135</fpage><lpage>140</lpage><pub-id pub-id-type="pmid">9564060</pub-id></element-citation></ref><ref id="b100-ijwh-4-383"><label>100</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Makai</surname><given-names>G</given-names></name><name><surname>Isaacson</surname><given-names>K</given-names></name></person-group><article-title>Complications of gynecologic laparoscopy</article-title><source>Clin Obstet Gynecol</source><year>2009</year><volume>52</volume><fpage>401</fpage><lpage>411</lpage><pub-id pub-id-type="pmid">19661756</pub-id></element-citation></ref><ref id="b101-ijwh-4-383"><label>101</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chapron</surname><given-names>CM</given-names></name><name><surname>Pierre</surname><given-names>F</given-names></name><name><surname>Lacroix</surname><given-names>S</given-names></name><name><surname>Querleu</surname><given-names>D</given-names></name><name><surname>Lansac</surname><given-names>J</given-names></name><name><surname>Dubuisson</surname><given-names>JB</given-names></name></person-group><article-title>Major vascular injuries during gynecologic laparoscopy</article-title><source>J Am Coll Surg</source><year>1997</year><volume>185</volume><fpage>461</fpage><lpage>465</lpage><pub-id pub-id-type="pmid">9358090</pub-id></element-citation></ref><ref id="b102-ijwh-4-383"><label>102</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Harkki-Siren</surname><given-names>P</given-names></name><name><surname>Kurki</surname><given-names>T</given-names></name></person-group><article-title>A nationwide analysis of laparoscopic complications</article-title><source>Obstet Gynecol</source><year>1997</year><volume>89</volume><fpage>108</fpage><lpage>112</lpage><pub-id pub-id-type="pmid">8990449</pub-id></element-citation></ref><ref id="b103-ijwh-4-383"><label>103</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brill</surname><given-names>AI</given-names></name></person-group><article-title>Electrosurgery: principles and practice to reduce risk and maximize efficacy</article-title><source>Obstet Gynecol Clin North Am</source><year>2011</year><volume>38</volume><fpage>687</fpage><lpage>702</lpage><pub-id pub-id-type="pmid">22134017</pub-id></element-citation></ref></ref-list></back><floats-group><fig id="f1-ijwh-4-383" position="float"><label>Figure 1</label><caption><p>Endometriosis involving the appendix.</p></caption><graphic xlink:href="ijwh-4-383f1"></graphic></fig><fig id="f2-ijwh-4-383" position="float"><label>Figure 2</label><caption><p>Bilateral endometriomas with obliterated posterior cul de sac.</p></caption><graphic xlink:href="ijwh-4-383f2"></graphic></fig><fig id="f3-ijwh-4-383" position="float"><label>Figure 3</label><caption><p>Endometrioma with characteristic ‘chocolate cyst’.</p></caption><graphic xlink:href="ijwh-4-383f3"></graphic></fig><fig id="f4-ijwh-4-383" position="float"><label>Figure 4</label><caption><p>Robotic assistance in the management of deep infiltrating endometriosis.</p></caption><graphic xlink:href="ijwh-4-383f4"></graphic></fig><fig id="f5-ijwh-4-383" position="float"><label>Figure 5</label><caption><p>(<bold>A</bold>) Endometriosis visible on the vesicouterine fold. (<bold>B</bold>) The same bladder on cystoscopy demonstrated endometriosis infiltrating the bladder mucosa.</p></caption><graphic xlink:href="ijwh-4-383f5"></graphic></fig><fig id="f6-ijwh-4-383" position="float"><label>Figure 6</label><caption><p>(<bold>A</bold>) Endometriosis of the thoracic wall. (<bold>B</bold>) Endometriosis of the lung parenchyma.</p></caption><graphic xlink:href="ijwh-4-383f6"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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