TY - CHAP M1 - Book, Section TI - Diagnostic Laparoscopy A1 - Ellison, E. Christopher A1 - Zollinger, Jr., Robert M. A1 - Pawlik, Timothy M. A1 - Vaccaro, Patrick S. A1 - Bitans, Marita A1 - Baker, Anthony S. PY - 2022 T2 - Zollinger’s Atlas of Surgical Operations, 11e AB - Indications for diagnostic laparoscopy can be divided into three broad groups. Gynecologic conditions include infertility, endometriosis, primary amenorrhea, pelvic pain in the female, and to rule out appendicitis in women with pelvic pain. In an effort to accurately diagnose or stage cancer, patients with gastric, esophageal, or pancreatic cancer may undergo diagnostic laparoscopy to stage the disease and determine resectability or direct further treatment. In patients with intra-abdominal lymphadenopathy, in whom lymphoma is a possibility, diagnostic laparoscopy is indicated to biopsy a representative lymph node to make the diagnosis. Benign conditions represent the third group that may benefit from diagnostic laparoscopy. Patients (typically those who have undergone previous abdominal procedures) with chronic abdominal pain and intermittent partial small bowel obstructions may benefit from diagnostic laparoscopy and adhesiolysis. Patients with symptoms suggestive of an inguinal hernia but who lack a clear inguinal hernia on physical examination may benefit from diagnostic laparoscopy. These patients may then be repaired laparoscopically. In patients with a unilateral inguinal hernia, laparoscopy can diagnose an inguinal hernia on the contralateral side to rule out a contralateral hernia. The laparoscopic incisions cause less pain, and there is a faster return to normal activities or work in the event that no therapeutic maneuvers are undertaken. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1187820529 ER -