Diagnostic and treatment of endometriosis - recommendations for clinical practice

Spremović-Radjenović, Svetlana; Bila, Jovan; Vidakovic, Snezana; Radunović, Nebojša

doi:10.2298/sarh160404019s

Cited by 3 publications

(1 citation statement)

References 22 publications

(46 reference statements)

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“…Therapeutic options for AWE include surgical excision and medical therapy with hormonal agents -progestagens, danazol, oral contraceptive pills, and gonadotropinreleasing hormone analogs but with a partial response and recurrence when medications are discontinued. The only definitive treatment is a wide local surgical excision with clear margins to prevent local recurrence [8,18,19,20].…”

Section: Discussionmentioning

confidence: 99%

Abdominal wall endometriosis: clinical presentation, imaging features and management of five cases

et al. 2020

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Introduction Endometriosis represents a functional endometrium outside the uterine cavity. Ectopic endometrial tissue has been identified within the pelvis, affecting both pelvic and extrapelvic organs, causing recurrent pelvic or abdominal pain corresponding to the menstrual cycle. The incidence of abdominal wall endometriosis after Cesarean section is approximately 2%. It is often mistaken for other conditions primarily because this condition is underestimated on imaging. The objective of this case series is to summarize possible clinical and radiological presentations of this uncommon condition. Outline of cases The authors present a case series of five patients who developed abdominal wall endometriosis after Cesarean section. Having been diagnosed clinically, the patients underwent open abdominal surgery, and were treated by surgical resection. Conclusion Good clinical practice and excellent surgical techniques may help in preventing endometriosis, while adequate clinical examination and proper imaging can help in presurgical planning and successful definitive treatment.

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Section: Discussionmentioning

confidence: 99%

Abdominal wall endometriosis: clinical presentation, imaging features and management of five cases

et al. 2020

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Effect of Pulsed High-Intensity Laser Therapy on Pain, Adhesions, and Quality of Life in Women Having Endometriosis: A Randomized Controlled Trial

Thabet

Alshehri

2018

Photomedicine and Laser Surgery

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Adjuvant therapy in assisted fertilization procedures

Bila

Spremović-Radjenović

2022

Srp Arh Celok Lek

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Introduction. Despite continuous advances in assisted reproductive technologies (ART), their outcomes are limited. Before introducing adjuvant therapy to improve the in vitro fertilization (IVF) outcome, it is important to identify appropriate groups of patients, and avoid equal approach for everyone. Objective The objective of this paper was to review the available literature on the most commonly used adjuvant therapy aiming to improve the outcome of IVF. The guidelines of the European Society for Human Reproduction and Embryology (ESHRE) and the American Society for Reproductive Medicine (ASRM) were used, and the available literature was analyzed by searching the Medline-PubMed and Cochrane databases using appropriate keywords for each entity. Discussion. A review of the literature found no consistent evidences for the standard use of metformin in patients with polycystic ovarian syndrome (PCOSy), nor for use of dehydroepiandrosterone (DHEA), testosterone (T) and growth hormone (GH) in patients with premature ovarian failure or those with poor response to stimulation. The standard usage of prednisone and aspirin in the general population of patients in ART is also not recommended. Recently, the significance of the oxidative stress has been emphasized, which is why the use of antioxidants in the form of supplementation (Melatonin, vitamins C, A, E, Coenzyme Q) might be important in improving reproductive outcomes. Conclusion. The modern approach to the problem of infertility has become strictly individual. The application of adjuvant therapy in order to improve the outcome of ART procedures requires an analytical and critical approach in each individual case.

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Diagnostic and treatment of endometriosis - recommendations for clinical practice

Cited by 3 publications

References 22 publications

Abdominal wall endometriosis: clinical presentation, imaging features and management of five cases

Abdominal wall endometriosis: clinical presentation, imaging features and management of five cases

Effect of Pulsed High-Intensity Laser Therapy on Pain, Adhesions, and Quality of Life in Women Having Endometriosis: A Randomized Controlled Trial

Adjuvant therapy in assisted fertilization procedures

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