ENDOSCOPIC SURGERY - THE END OF CLASSIC SURGERY

Gynecological endoscopy is now a well-established procedure and it has been proved that the laparoscopic surgical technique can be used in t he management of most gynecological disorders thus replacing conventio nal laparotomic procedures. The latest indications apply to such funct ional pathologic conditions as urinary incontinence and genital prolap se, and oncology (radical hysterectomy, lymphadenectomy). Hysteroscopy has afforded an easier surgical approach to certain pathologies such as septate uterus and endometrial ablation. Indications of conventiona l surgery are getting fewer. Yet conventional surgery should be part o f the training of the gynecologist as the laparotomic approach is stil l the only solution in the most difficult cases. (C) 1997 Elsevier Sci ence Ireland Ltd.