Laparoscopic Management of Endometriosis: Comprehensive Review of Best Evidence

Yeung, Patrick; Shwayder, James M.; Pasic, Resad

doi:10.1016/j.jmig.2009.02.007

Cited by 75 publications

(49 citation statements)

References 65 publications

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“…Dažniausiai endometriozės židiniai randami ant kiaušidės, užgimdinėje įduboje bei ant gimdos raiščių (plačiųjų, kryžmeninio gimdos). Endometriozės židinių abliacija -procesas, kurio metu lazeriu, elektra ar ultragarsu yra sunaikinamas endometriozės židinys [9]. Ekscizija -pažeidimo pašalinimas, dažniausiai atliekamas laparoskopinėmis žirklėmis.…”

Section: Pilvaplėvės Endometriozės Chirurginis Gydymasunclassified

“…Prieš pradedant endometriozės židinio eksciziją, reikėtų identifikuoti anatomines struktūras po pažeidimu, turint galvoje tai, kad dėl endometriozės sukeltos fibrozės galima audinių retrakcija ir iškreipta žemiau esančių organų anatomija (pvz. : šlapimtakių, stambiųjų kraujagyslių) [9]. Ekscizija pradedama sveikų audinių ribose, disekacija atliekama palengva, identifikuojant anatomines struktūras.…”

Section: Pilvaplėvės Endometriozės Chirurginis Gydymasunclassified

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Chirurginis endometriozės gydymas: literatūros apžvalga

Simavičius¹,

Bogužienė²,

Kupčiūnaitė³

et al. 2015

LietChirur

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Endometriozė -dažna reprodukcinio amžiaus moterų liga, sukelianti skausmą ir nevaisingumą. Chirurginis gydymas yra vienas iš svarbiausių endometriozės gydymo etapų. Tinkamas chirurginis gydymas palengvina endometriozės sukeliamus simptomus ir padidina pastojimo dažnį gydant nevaisingumą. Laparoskopinės chirurgijos technikų ir taktikų tobulėjimas lėmė, kad endometriozės chirurginis gydymas tapo svarbiu gydymo etapu, turinčiu pranašumų, palyginti su medikamentiniu gydymu. Skiriamos trys pagrindinės ligos formos: pilvaplėvės, kiaušidžių ir gilioji rektovaginalinės pertvaros endometriozė. Paprasčiausia atlikti paviršinių endometriozės židinių abliaciją, o gydant giliąsias ligos formas židinių ekscizijos būdu reikalinga chirurgo patirtis ir įgūdžiai. Endometriozės chirurginis gydymas yra tausojantis arba radikalus, jei šalinama gimda ir (ar) kiaušidės. Labai svarbu laparoskopijos būdu nustačius endometriozę pašalinti visus matomus pažeidimus. Pagrindinis šio straipsnio tikslas yra padėti suprasti chirurginio gydymo svarbą gydant endometriozę ir pateikti moksliškai pagrįstus įrody-mus, kaip tinkamai gydyti endometriozę chirurginiu būdu.

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Section: Pilvaplėvės Endometriozės Chirurginis Gydymasunclassified

Chirurginis endometriozės gydymas: literatūros apžvalga

Simavičius¹,

Bogužienė²,

Kupčiūnaitė³

et al. 2015

LietChirur

View full text Add to dashboard Cite

show abstract

“…surgical removal of lesions combined with long-term (6-48 months) hormonal blocking of menstruation. Due to atypical lesions and hormonal receptors variability, both surgical and hormonal therapy remains burdened with a high rate of recurrencies [1,3,[7][8][9]. Even though it is believed to be a progressive disease, progression was not seen in some women followed for more than 1 year without surgery [10].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Sigmoid Colon Perforation Based on Endometriosis in Term Pregnancy Case Report

Driák¹,

Bolehovska²,

Špůrková³

2018

Crit Care Obst & Gyne

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The case report describes a woman with acute, spontaneous sigmoid colon perforation based on deep endometriosis in advanced stage of pregnancy. The 33-yearold white woman was admitted to our clinic at 37+6 weeks of pregnancy with symptoms of increasing abdominal pain successively changing the site of maximum. Due to suspicion of acute appendicitis, acute caesarean section, sigmoid resection and end-to-end anastomosis, appendectomy was performed. Spontaneous perforation associated with intestinal endometriosis in pregnancy is scarcely reported, some seven cases have been published in the English literature. To the best of our knowledge, this is the second case report of sigmoid colon perforation due to endometriosis during pregnancy.

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“…5 At laparoscopy, due to greater pain relief and less recurrence rate, the stripping technique has been reported to be preferable to drainage and ablative techniques. 6 Although the stripping technique is thought to be a most common operative technique which saves future reproductive function and patient's fertility, major concern is the possible loss of follicles might have a negative impact on ovarian reserve and function. [7][8][9] Some literature suggested excisional surgery of endometriomas, in particular the stripping technique may cause ovarian trauma as loss of follicles and also loss of ovarian volume.…”

mentioning

confidence: 99%

“…7,10 In contrast, Yeung et al reported advantages of laparoscopic excision of endometrioma by stripping of the cyst wall in terms of pain relief, less recurrence rate and high pregnancy rate. 6 We designed the present study to assess whether the laparoscopic cystectomy with stripping of ovarian endometrioma was effective on ovarian reserve as determined by ultrasonographic measurement of antral follicle count (AFC) and blood follicle stimulant hormon (FSH) level.…”

mentioning

confidence: 99%

The Effect of Unilateral Endometrioma Excision on Ovarian Reserve

Semiz¹,

Apı²,

Kayatas³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

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M echanisms of infertility associated with endometriosis are controversial. It is hypothesized that endometriosis is associated with overproduction of prostaglandins, metalloproteinases, cytokines, Turkiye Klinikleri J Gynecol Obst 2015;25(2) 71 The Effect of Unilateral Endometrioma Excision on Ovarian Reserve A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To evaluate the effect of laparoscopic cystectomy for endometriomas on ovarian reserve as determined by antral follicle count (AFC) and follicle stimulating hormone (FSH) level. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this prospective, observational, operated and non-operated site comparative study, twenty one women between 20-36 ages with previous history of laparoscopic surgery for unilateral ovarian endometriomas greater than 30 mm were called for the evaluation of ovarian reserve at third month. Only first endometrioma removal operations were included. Removal of endometrioma was performed by laparoscopic ovarian tissue-sparing stripping technique. AFC of both ovaries were evaluated on 2-5 day of postoperative third menstrual cycle by independent examiners, blinded to the clinical and surgical history of patients. AFCs of both ovaries were analyzed to compare between operated and non-operated sites. Pre and postoperative FSH levels were recorded also. R Re es su ul lt ts s: : There was statistically significant difference in the mean number of antral follicles in the operated side ovary (2.61±1.24) when compared to the non-operated side ovary (4.23±0.88) (p<0.001). Although a significant difference was found between pre and postoperative FSH levels (6.7±1.8 vs 6.9±1.6, p=0.011), this did not reach to clinical significance. C Co on nc cl lu u--s si io on n: : Our study results suggested that excision of endometriomas might have a negative impact on ovarian reserve as evidenced by a significant postoperative fall in ipsilateral AFC level.K Ke ey y W Wo or rd ds s: : Endometriosis; laparoscopy; follicle stimulating hormone; follicular fluid Ö ÖZ ZE ET T A Am ma aç ç: : Endometriyoma eksizyonu için yapılan laparoskopik kistektominin over rezervi üze-rine etkilerinin antral folikül sayısı (AFS) ve folikül stimülan hormon (FSH) seviyesi açısından değerlendirilmesi. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Prospektif, gözlemsel, opere edilen tarafın opere edilmeyen tarafla karşılaştırıldığı bu çalışmada tek taraflı, 30 mm üzerinde ovarian endometriyoma nedeniyle laparoskopik operasyon geçirme öyküsü olan 20-36 yaş arası 21 kadın, operasyon sonrası 3. ayda çağrıldı. Sadece ilk kez ve laparoskopik stripping yöntemiyle endometriyoma ameliyatı geçirenler çal-ışmaya dâhil edildi. Her iki overin antral folikülleri, hastanın klinik ve operasyon öyküsüne kör bağımsız bir araştırmacı tarafından operasyon sonrası 3. ayda siklusun 2-5. günleri arası değerlendi-rildi. Her iki overin AFS'leri opere olan ve olmayan taraf arasında karşılaştırıldı. Pre ve postoperative FSH düzeyleri kaydedildi. B Bu ul lg gu ul la ar r: : Opere ol...

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Laparoscopic Management of Endometriosis: Comprehensive Review of Best Evidence

Cited by 75 publications

References 65 publications

Chirurginis endometriozės gydymas: literatūros apžvalga

Chirurginis endometriozės gydymas: literatūros apžvalga

Spontaneous Sigmoid Colon Perforation Based on Endometriosis in Term Pregnancy Case Report

The Effect of Unilateral Endometrioma Excision on Ovarian Reserve

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