Minimally Invasive and Robotic Surgery for Endometriosis and Gynecologic Malignancies

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 25 June 2024 | Viewed by 895

Special Issue Editors


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Guest Editor
Camran Nezhat Institute, Woodside, CA, USA
Interests: endometriosis; infertility; fibroids; adenomyosis; MIS; reproductive surgery; robotic surgery

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Guest Editor
Weill Cornell Medical College, New York, NY, USA
Interests: gynecologic malignancy; MIS; endometriosis; infertility

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Guest Editor
Nezhat Medical Center, Atlanta, GA, USA
Interests: minimally invasive surgeon; endometriosis; laparoscopy; robotic techniques

Special Issue Information

Dear Colleagues,

Minimally invasive surgery with and without robotic assistance has revolutionized modern day surgery. This revolution started with gynecologic surgery and now has expanded to almost all the disciplines of surgery. This section of the journal addresses minimally invasive and robotic surgical management of the most common benign and malignant disorders that affect millions of women around the world. For example, endometriosis, which is a whole- body disease, will be addressed in this Special Issue. Endometriosis could cause pain, infertility, and organ dysfunction. Authors will write about how endometriosis causes pain and infertility, and its management and outcomes. Additionally, extragenital endometriosis involving the bowel, bladder, ureter, diaphragm, thorax, etc. will be addressed with outcomes. Minimally invasive gynecology with robotic assistance for the management of GYN malignancy will be addressed with outcomes.

Prof. Dr. Camran R. Nezhat
Prof. Dr. Farr R Nezhat
Dr. Ceana Nezhat
Guest Editors

Manuscript Submission Information

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Keywords

  • endometriosis
  • minimally invasive and robotic surgery
  • video-assisted endoscopic surgery
  • laparoscopic surgery
  • gastrointestinal endometriosis
  • genitourinary endometriosis
  • respiratory tract endometriosis
  • extragenital endometriosis
  • video-laparoscopic surgery
  • gynecologic malignancy

Published Papers (1 paper)

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Research

16 pages, 2096 KiB  
Article
Superficial Peritoneal Endometriosis Vaporization Using a CO2 Laser: A Long-Term Single-Center Experience
by Stefano Di Michele, Silvia Bramante, Stefano Angioni, Michela Bernassola, Tommaso De Vita, Daniela Anna Iaccarino, Luca Giannoni and Maurizio Rosati
J. Clin. Med. 2024, 13(6), 1722; https://doi.org/10.3390/jcm13061722 - 17 Mar 2024
Viewed by 636
Abstract
Background: The validation of laser usage during laparoscopic procedures, notably by Camran Nezhat in the late 1980s, has been significant. Lasers offer precision and depth control in tissue vaporization without bleeding. Surgical intervention remains central in managing endometriosis-associated pain and infertility, especially [...] Read more.
Background: The validation of laser usage during laparoscopic procedures, notably by Camran Nezhat in the late 1980s, has been significant. Lasers offer precision and depth control in tissue vaporization without bleeding. Surgical intervention remains central in managing endometriosis-associated pain and infertility, especially for patients unresponsive to hormonal therapy. Methods: This retrospective cohort study included 200 patients with superficial peritoneal endometriosis (SPE) who underwent laparoscopic laser vaporization. Surgery was performed using a CO2 laser, and histological confirmation of endometriosis was obtained for all cases. Pain scores and SF-36 questionnaire domains were assessed preoperatively and postoperatively. Fertility outcomes were evaluated among patients desiring pregnancy. Results: Significant improvements in pain score and SF-36 questionnaire domains were observed postoperatively (p-value < 0.01), indicating enhanced quality of life. Among infertile patients with an active desire for pregnancy, surgical treatment showed an overall pregnancy rate after surgery of 93.7% (p-value < 0.01), including 75.7% natural pregnancies and 24.3% IVF. Laser vaporization enabled precise lesion removal with minimal tissue damage, short operative time, and minimal blood loss. Conclusions: Laparoscopic laser vaporization is an effective treatment for SPE, offering pain relief, improved quality of life, and favorable fertility outcomes. Further research is needed to validate these results in terms of pain control and fertility. Full article
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