Principles of Conventional Conservative Surgery

Buttram C., Jr.
In: Current Concepts in Endometriosis: Proceedings of the Second International Symposium on Endometriosis, Houston, Texas, May 1-3, 1989. Edited by DR Chadha and VC Buttram Jr. New York, AR Liss, 1990: 269-280.

Operative Technique

The author suggests 15 principles regarding operative technique.

Uterine suspension (usually triplication of the round ligament) is often advocated to lift the adnexa out of the posterior cul-de-sac where they may be more vulnerable to adhesion formation. If the suspension lasts only a few days we feel we have accomplished our task. By this time the healing process has been completed sufficiently such that adhesions of the adnexa are unlikely.

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