Frishman examines second-look laparascopy

PROVIDENCE – Dr. Gary Frishman, associate director of the Division of Reproductive Endocrinology and Infertility and Residency program director at Women & Infants Hospital of Rhode Island and The Warren Alpert Medical School at Brown University, recently authored an editorial arguing for serious consideration of any second-look laparascopy surgeries.

Writing in The Journal of Minimally Invasive Gynecology, Frishman said that balance is important when determining whether the second procedure is justified.

A frequent reason for second-look laparoscopies is to determine if a patient is free from adhesions (scar tissue).

“Given both the costs and risks associated with second-look laparascopy,” Frishman wrote, physicians should identify “a prospective determination of who is the best and, ideally, most cost-effective and low-risk candidate alongsidecapturing outcome data which can be periodically reviewed to confirm any emerging standard of care.”

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