Controversies in gynaecologic endoscopic surgery

Abstract

Despite the widespread utilization of assisted reproductive techniques in recent years, hysteroscopic as well as laparoscopic surgery should be firstly offered for patients with adnexal and uterine lesions desiring fertility. Permanent correction of the patient’s problem with frequent chances of pregnancy is a definite advantage of endoscopic surgery over assisted reproductive techniques. Reconstructive endoscopic procedures could be performed for fertile women as well e.g. hysteroscopic or laparoscopic myomectomy for abnormal bleeding. The concept of reconstruction following microsurgical principles coupled with refinement of instrumentation and techniques would improve the results of hysteroscopic and laparoscopic approaches. This thesis contains many chapters on some controversial practical aspects of hysteroscopic and laparoscopic surgery. The results are discussed in the context of the evidence-based studies on similar conditions.