Operative laparoscopy: a preliminary study
Khandwala, S.D.
Journal of Obstetrics and Gynaecology of India 29(4): 727-730
1979
ISSN/ISBN: 0971-9202 PMID: 12336027 Document Number: 442860
Khandwala cites 30 cases of operative laparoscopy, a technique utilizing several surgical procedures for treating pathological conditions. All cases consisting of the following operative procedures were done under local anesthesia: 1) 20 cases (65%) of adhesiolysis. The procedure consisted of separating the adhesions and coagulating the blood vessels. In all cases the pelvis was cleared of adhesions; 2) 3 cases (10%) of aspiration of Ovarian cyst; 3) 2 cases (6.6%) fulguration of endometrial implants. Early diagnosis and treatment of endometriosis is thought to be one of the more useful achievements of laparoscopy; 4) 2 cases (6.6%) of IUD removal. X-rays are required for determining the exact location of the IUD. Plastic devices appear easier to remove than copper devices which produce adhesions and may require laparotomy; 5) 2 cases (6.6%) of partial salpingectomy; and 6) 1 case (3.3%) resection of uterosacrals due to chronic pelvic pain.