The document discusses endometriosis surgery and adhesion prevention. It provides an overview of the risks and benefits of surgery for endometriosis, techniques for excision versus ablation of lesions, challenges with deeply infiltrating endometriosis, and the role of adjunctive procedures like appendectomy and adhesion barriers to reduce post-surgical adhesions. The key messages are that laparoscopic excision provides pain relief, especially for severe disease, and techniques to minimize adhesions can improve outcomes.

2. Endometriosis Surgery and Adhesion Prevention Nicholas Leyland, BASc , MD,MHCM, FRCSC Chief of OB/GYN St Joseph’s Health Centre, Medical Director of Women’s, Children’s and Family Health Program. Associate Professor OB/GYN, University of Toronto. Left Ureterolysis

3. *Trademark ©ETHICON, INC. 2007

10. Macroscopic appearance of endometriosis black, red, vesicular POD obliteration Marked distorted anatomy Endometriotic cysts Adhesions Bowel endometriosis

12. SURGICAL OPTIONS: EXCISION OR ABLATION? For Endometriosis

15. DOES SURGERY HELP? Endometriosis Related Pain

21. Deep Versus Superficial Endometriosis: What do you see?

22. Ovarian Endometriomas

27. ADJUNCTIVE SURGICAL TECHNIQUES

29. Appendectomy: “The Hockey Stick” Sign

31. Arrhythmia Management Arrhythmia Management **Circulatory_Disease_Management** **Circulatory_Disease_Management** General Surgery General Surgery **Laboratory_Medicine** **Laboratory_Medicine** Neurosurgery Neurosurgery Nursing Nursing **Ob_Gyn** **Ob_Gyn** Orthopaedics Orthopaedics HOME REGISTER LOGIN HELP PRIVACY POLICY Advanced Search Product Information Professional Resources Product Ordering Contact Us More Information GYNECARE INTERCEED (TC7) Absorbable Adhesion Barrier Essential Product Information GYNECARE INTERCEED (TC7) Absorbable Adhesion Barrier Clinical Information Clinical Bibliography Incidence of Post-Surgical Adhesions Features and Benefits Proven Effective and Safe Order Information Order GYNECARE INTERCEED (TC7) Absorbable Adhesion Barrier Company Home Page ETHICON Women's Health & Urology, a division of ETHICON, INC. Related Product Information GYNECARE INTERCEED (TC7) Absorbable Adhesion Barrier Post-surgical Adhesions—A common & costly outcome Despite even the best surgical techniques, post-surgical adhesions form in the majority of patients undergoing gynecologic pelvic surgery Adhesions following some gynecologic surgery are a major cause of post-operative pelvic pain, infertility, bowel obstruction and the need for repeat surgery 6 It is impossible to predict who will develop adhesions or where they will occur In addition to the emotional cost to the patient, post-surgical adhesions cost the U.S. healthcare system $1.6 billion annually 7 Adhesion barriers are a proven method of enhancing good surgical technique in reducing post-surgical adhesions *Trademark ©ETHICON, INC. 2007 All contents copyright © Johnson & Johnson Gateway, LLC 2000-2009 unless otherwise noted. This site was written for U.S. healthcare professionals only. Click here for our Privacy Policy and Legal Notice . If you have chosen this country and/or language view in error and need to return to the main menu click here . Capitalized product names are trademarks of Johnson & Johnson or its affiliated companies. Prescription products or in vitro diagnostics only unless otherwise noted in our non-prescription product list .

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