Laparoscopic Approach in Gynecologic Emergencies

  • Luciano Casciola
  • Graziano Ceccarelli
  • Alberto Patriti
Part of the Updates in Surgery book series (UPDATESSURG)


There are situations and emergency conditions of women of reproductive age that a general surgeon might be faced with during his/her practice. While many gynecologists are able to treat appendicitis and perform appendectomies (it is worth remembering that the first laparoscopic appendectomy was performed by the German Gynaecologist Kurt Semm) [1], no experienced general surgeon in his or her career has escaped treating women for gynecologic diseases discovered during surgery performed for suspected appendicitis.


Uterine Tube Ectopic Pregnancy Ovarian Cyst Pelvic Inflammatory Disease Cystic Teratoma 
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  1. 1.
    Semm K (1983) Endoscopic appendectomy. Endoscopy 15:59PubMedCrossRefGoogle Scholar
  2. 2.
    Homer MJ, Braver JM (1979) Reccurrent appendicitis: reexamination of controversial disease. Gastroent Radiol 4:295CrossRefGoogle Scholar
  3. 3.
    Van Dalen R, Bagshaw PF, Dobbs BR et al (2003) The utility of laparoscopy in the diagnosis of acute appendicitis in women of reproductive age. Surg Endosc 17:1311–1313PubMedCrossRefGoogle Scholar
  4. 4.
    Casciola L, Ceccarelli G, Batoli A et al (2002) Approccio laparoscopico versus laparotomia per sospetta appendicite acuta. Giorn Chir 23:440–444Google Scholar
  5. 5.
    Promecene PA (2002) laparoscopy in gynaecologic emergencies. Semin Laaprosc Surg 9:64–75CrossRefGoogle Scholar
  6. 6.
    Lopez Rivadeneyra E, Gutierrez Garcia V et al Diagnostic and therapeutic usefulness of laparoscopic surgery in acute abdomen of gynaecologic origin. Ginecol Obstet Mex 66:377–380Google Scholar
  7. 7.
    Kontoravdis A, Chryssikopoulos A, Hassiakos D et al The diagnsotic value of laparoscopy in 2365 patients with acute and chronic pelvic pain. Int J Gynecol Obstet 52:243–248Google Scholar
  8. 8.
    Henry-Suchet J (2000) PID: clinical and laparoscopic aspects. Ann N Y Acad Sci 900:301–308PubMedCrossRefGoogle Scholar
  9. 9.
    Porpora MG, Gomel V. The role of laparoscopy in the management of pelvic pain in women of reproductive age. Fertil Steril 1998; 70:592–3CrossRefGoogle Scholar
  10. 10.
    Eschenbach D, Woelner-Hanssen P, Hawes SE et al (1997) Acute pelvic inflammatory disease: associations of clinical and laboratory findings with laparoscopic findings. Obstet Gynecol 89:184–192PubMedCrossRefGoogle Scholar
  11. 11.
    Pavletic AJ, Wolner-Hanssen P, Paavonen J et al (1999) Infertility following pelvic inflammatory disease. Infect Dis Obstet Gynecol 7:145–152PubMedGoogle Scholar
  12. 12.
    Gogate A, Barabin L, Nicholas S et al (1998) Risk factors for laparoscopically confirmed pelvic inflammatory disease: findings from Mumbai (Bombay), India. Sex Transm Inf 74:426–432CrossRefGoogle Scholar
  13. 13.
    Buchweitz O, Malik E, Kressin P et al (2000) Laparoscopic management of tubo-ovarian abscesses. Surg Endosc 14:948–950PubMedCrossRefGoogle Scholar
  14. 14.
    Simms I, Warburton F, Westrom L (2003) Diagnosis of pelvic inflammatory disease: time for a rethink. Sex Transm Infect 79:491–494PubMedCrossRefGoogle Scholar
  15. 15.
    The Royal College of Obstetrician & Gynaecologist (2003) Clinical Green Top Guidelines: Management of Acute Pelvic Inflammatory Disease. Guideline No. 32. Available at: Accessed on 17 June 2011
  16. 16.
    Sau A, Hamilton-Fairley D (2003) Review: Nonsurgical diagnosis and management of ectopic pregnancy. Obstetrician & Gynaecologist 5:29–33CrossRefGoogle Scholar
  17. 17.
    Lau S, Tulandi T (1999) Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril 72:207–215PubMedCrossRefGoogle Scholar
  18. 18.
    Lundorff P (1997) Laparoscopic surgery in ectopic pregnancy. Acta Obstet Gynecol Scand 76:81–84CrossRefGoogle Scholar
  19. 19.
    Bateman BG (1998) Laparascopic treatment in gynecologic emergencies. In: Schirmer D, Ratner WD (eds) Ambulatory Surgery, Saunders, PhiladelphiaGoogle Scholar
  20. 20.
    ASRM Practice Guideline (1997) Classification of endometriosis. Fertil Steril 67:817–821CrossRefGoogle Scholar
  21. 21.
    Darwish AM, Zhakhera M, Youssef AA (2007) Fertility after laparoscopic management of gynecologic emergencies: the experience of a developing country. Gynecol Surg 4:85–90CrossRefGoogle Scholar
  22. 22.
    Mol BWJ, Hajenius PJ, Engelsbel S et al (1997) An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy. Acta Obstet Gynecol Scand 76:596–600PubMedCrossRefGoogle Scholar
  23. 23.
    Pan HS, Huang LW, Lee CY et al (2004) Ovarian pregnancy torsion. Arch Gynecol Obstet 270:119–121PubMedCrossRefGoogle Scholar
  24. 24.
    Sozen I, Kadako R, Fleischman S, Arici A (2002) Diagnosis and laparoscopic management of a fallopian tube torsion following Irving tubal sterilization: a case report. Surg Endosc 16:217PubMedCrossRefGoogle Scholar
  25. 25.
    Cohen SB, Oelser G, Seidman DS et al (1999) Laparoscopic detorsion allow sparing of the twisted ischemic adnexa. J Am Assoc Gynecol Laparosc 6:139–143PubMedCrossRefGoogle Scholar
  26. 26.
    Martinez-Serna T, Starter KD, Filini CJ, Tomonaga T (1998) An unusual case of endometrial trocar site implantation. Surg Endosc 12:992–994PubMedCrossRefGoogle Scholar
  27. 27.
    Chew S, Chan C, Ng SC, Ratman SS (1998) Laparoscopic adhesiolysis for subfertility. Singapore Med J 39:491–495PubMedGoogle Scholar
  28. 28.
    Mettler L (2003) Pelvic adhesions: laparoscopic approach. Ann N Y Acad Sci 997:255–268PubMedCrossRefGoogle Scholar
  29. 29.
    Piscaglia F, Vidili G, Ugolini G et al (2005) Fitz-Hugh-Curtis-syndrome mimicking acute cholecystitis: value of new ultrasound findings in the differential diagnosis. Ultrashall Med 26:227–230CrossRefGoogle Scholar
  30. 30.
    Gandhi SG, Komenaka IK, Naim JH (2003) Fitz-Hugh-Curtis syndrome after laparoscopic tubal ligation. A case report. J Reprod Med 48:302–305PubMedGoogle Scholar
  31. 31.
    Parker WH (1995) The case for laparoscopic management of the adnexal mass. Clin Obstet Gynecol 38:362–369PubMedCrossRefGoogle Scholar
  32. 32.
    Barnett MB, Liu DTY (1974) Complication of laparoscopy during early pregnancy. Br Med J 1:328PubMedCrossRefGoogle Scholar
  33. 33.
    Yuen PM, Chang AM (1997) Laparoscopic management of adnexal mass during pregnancy. Acta Obstet Gynecol Scand 76:173–176PubMedCrossRefGoogle Scholar
  34. 34.
    Catena F, Ceccarelli G, Sartelli M (2009) Sindromi aderenziali addominali. Alpes Editori, RomaGoogle Scholar

Suggested Readings

  1. Sauerland S, Agresta F, Bergamaschi R, Borzellino G, Budzynski A, Champault G, Fingerhut A, Isla A, Johansson M, Lundorff P (2006) Laparoscopy for abdominal emergencies. Evidencebased guidelines of the European Association for Endoscopic Surgery. Surg Endosc 20:14–29PubMedCrossRefGoogle Scholar
  2. Agresta F, Ansaloni L, Baiocchi L, Bergamini C, Campanile FB, Carlucci M, Cocorullo G, Corradi A, Franzato B, Lupo M, Mandalà V, Mirabella A, Pernazza G, Piccoli M, Staudacher C, Vettoretto N, Zago M, Lettieri E, Levati A, Pietrini D, Scaglione M, De Masi S, De Placido G, Francucci M, Rasi M, Scaramuzza G, Del Favero AL (2011) Consensus Development Conference of the Società Italiana Chirurgia Endoscopica e nuove tecnologie (SICE); Associazione Chirurghi Ospedalieri Italiani (ACOI); Società Italiana di Chirurgia (SIC); Società Italiana Chirurgia d’Urgenza e Trauma (SICUT), Società Italiana Chirurghi dell’Ospedalità Privata (SICOP) and the European Association for Endoscopic Surgery (EAES). In pressGoogle Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Luciano Casciola
    • 1
  • Graziano Ceccarelli
  • Alberto Patriti
  1. 1.Department of Surgery, Division of General, Minimally Invasive and Robotic Surgery ASL 3 Umbria“San Matteo degli Infermi” HospitalSpoleto (PG)Italy

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