The discussion on robotic assisted surgery is continuing . Following our opinion statement on www.endometriosis.org John F Dulemba posted in World Endometriosis Research Foundation 7 January 07:43 PEOPLE. THE ROBOT IS JUST LAPAROSCOPY!!!!!!!!!!!!! PLEASE WATCH THIS MINUTE VIDEO….TO THE VERY END. YOU WILL SEE HOW PRECISE THE INSTRUMENTS CAN BE, AND I DO NOT THINK [...]

In response to a question : how to treat silent hydronefrosis (without pain) and a marked reduction in kidney function ? AAGL-ENDO-EXCHANGE Digest – 7 Aug 2011 to 8 Aug 2011 Date:    Mon, 8 Aug 2011 15:50:26 -0400 From:    Philippe Koninckx and Anastasia Ussia <Gary_Frishman@BROWN.EDU> Subject: Chronic hydronephrosis surgical management In all cases [...]

Methylene blue painting of the peritoneum for the diagnosis of endometriosis – Eshre 2011. For insiders the diagnosis of endometriosis seems well established. The public and recently  also contaminating the scientific debate ,however, is  fueled by correct but maliciously misleading “scientific” information. That this harmful to patients, emphasised by several recent emails by patients triggered [...]

Small bowel herniation in trocar sites and early repeat laparoscopy RCTs have not been performed, nor will be performed , in order to document the incidence and the prevention of small bowel herniation in trocar sites. Indeed it is a rare complication and for obvious ethical reasons trials will not be performed. The evidence therefore can only [...]

avoid unnecessary bowel resections for endometriosis

Endometriosis risk and dietary fat consumption Risks factors for developing “endometriosis” are discussed since 30 years while this is a frequent topic at meetings and factors as heredity, age, menstrual flow etc seem to be common knowledge if judged from the literature and from endometriosis websites. We even suggested 30 years ago that typical endometriosis [...]

Surgical mistakes and surgical quality. Recently, surgical mistakes have been highlighted in the Belgian press because of surgical instruments left behind in the abdomen of patients. Fortunately this occurs very rarely. However, it has been said that more people die every year because of surgical mistakes than by car accidents Google ‘surgical mistakes’ and the [...]

Published at the AAGL listserv. : Date: Fri, 17 Dec 2010 08:42:22 -0500 From: “Philippe R. Koninckx, Carlo De Cicco, Jasper Verguts, Roberta Corona and Anastasia Ussia” Subject: Loss of pneumoperitoneum through trocar Reading the comments regarding loss of pneumoperitoneum I do have the impression that many try to reinvent the wheel, or simply do [...]

Recently the Italian press has been debating bisfenol as a cause of endometriosis. This needs some comments 1. The relationship between endometriosis and endocrine disrupters as dioxin started in 1994 with the article of Koninckx-Kennedy-Barlow soon followed by the primate article of Rier. Since then numerous articles have been published but the relationship remains unclear. [...]

Peritoneal stripping in  endometriosis ? “Peritoneal stripping of large areas of normal looking peritoneum” as a treatment for endometriosis is circulating on the web. It was recently debated in newspapers and is being discussed on patient forums. It even is advocated by some gynaecologists. Since in the literature as pubmed no publications are found, some [...]