Laparoscopic Neuronavigation for Deep Lateral Pelvic Endometriosis: Clinical and Surgical Implications

Chiàntera, Vito; Petrillo, Marco; Abesadze, Elene; Sozzi, Giulio; Dessole, Margherita; Donna, Mariano Catello Di; Scambia, Giovanni; Sehouli, Jalid; Mechsner, Sylvia

doi:10.1016/j.jmig.2018.02.015

Cited by 31 publications

(18 citation statements)

References 17 publications

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“…Retroperitoneal endometriosis near the uterus (i.e., paracervical and parametrial) is common [ 17 , 41 ], and ultrasound is a valid tool to identify these lesions [ 11 , 42 , 43 , 44 , 45 ]. A DD that includes the spread of cervical cancer warrants attention [ 46 ].…”

Section: Sonographic Differential Diagnosismentioning

confidence: 99%

Differential Diagnosis of Endometriosis by Ultrasound: A Rising Challenge

et al. 2020

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Ultrasound is an effective tool to detect and characterize endometriosis lesions. Variances in endometriosis lesions’ appearance and distorted anatomy secondary to adhesions and fibrosis present as major difficulties during the complete sonographic evaluation of pelvic endometriosis. Currently, differential diagnosis of endometriosis to distinguish it from other diseases represents the hardest challenge and affects subsequent treatment. Several gynecological and non-gynecological conditions can mimic deep-infiltrating endometriosis. For example, abdominopelvic endometriosis may present as atypical lesions by ultrasound. Here, we present an overview of benign and malignant diseases that may resemble endometriosis of the internal genitalia, bowels, bladder, ureter, peritoneum, retroperitoneum, as well as less common locations. An accurate diagnosis of endometriosis has significant clinical impact and is important for appropriate treatment.

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Section: Sonographic Differential Diagnosismentioning

confidence: 99%

Differential Diagnosis of Endometriosis by Ultrasound: A Rising Challenge

et al. 2020

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“…A systematic sonographic approach as defined by International Deep Endometriosis Analysis (IDEA) consensus was shown to improve detection rates of pelvic lesions [ 24 ]. MRI is also considered a highly accurate imaging modality in the evaluation of DIE, particularly when involvement of the rectum, ureters and nerve roots is suspected; these areas are highly important for both the patient and the surgeon and may be poorly visualized even with laparoscopy [ 25 , 26 ]. MRI is also increasingly used to assess the anatomic response to medical or surgical treatment and to differentiate endometriosis from adenomyosis; the latter is a specific and heterogeneous disease contributing, independently of endometriosis to symptoms, defined as the invasion of endometrial tissue into the myometrium occurring in different forms (diffuse, focal, cystic or superficial).…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance imaging for deep infiltrating endometriosis: current concepts, imaging technique and key findings

Lorusso

Scioscia²,

Rubini

et al. 2021

Insights Imaging

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Endometriosis is an estrogen-dependent chronic disease affecting about 10% of reproductive-age women with symptoms like pelvic pain and infertility. Pathologically, it is defined by the presence of endometrial tissue outside the uterine cavity responsible for a chronic inflammatory process. For decades the diagnosis of endometriosis was based on surgical exploration and biopsy of pelvic lesions. However, laparoscopy is not a risk-free procedure with possible false negative diagnosis due to an underestimate of retroperitoneal structures such as ureters and nerves. For these reasons nowadays, the diagnosis of endometriosis is based on a noninvasive approach where clinical history, response to therapy and imaging play a fundamental role. Trans-vaginal ultrasound and magnetic resonance imaging are suitable for recognizing most of endometriotic lesions; nevertheless, their accuracy is strictly determined by operators’ experience and imaging technique. This review paper aims to make radiologists aware of the diagnostic possibilities of pelvic MRI and familial with the MR acquisition protocols and image interpretation for women with endometriosis.

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“…Despite several diagnostic instruments have been investigated to date (i.e. transvaginal ultrasound, rectal ultrasound, MRI, colongraphy, CT), the gold standard is still surgical excision (laparoscopic or laparotomic) with histopathological confirmation [10,11].…”

Section: Introductionmentioning

confidence: 99%

Rectovaginal endometriosis: head to head comparison between sonovaginography and magnetic resonance imaging

Vitagliano¹,

Andrisani²,

Dessole³

et al. 2019

Clin. Exp. Obstet. Gynecol.

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Background: Rectovaginal endometriosis (RVE) is a severe form of deep pelvic endometriosis associated with dysmenorrhoea, pelvic pain, and dyspareunia. Diagnosis of RVE is a challenge for clinicians. Aim of outhe present study was to compare the diagnostic accuracy of sonovaginography with MRI on a consecutive cohort of women referred to this institution due to RVE suspect. Materials and Methods:The authors performed a retrospective study on consecutive patients undergoing surgery at this Unit due to a suspicion of RVE. All women were subject to MRI and sonovaginography. Primary endpoint was to compare the diagnostic accuracy of sonovaginography and MRI in the detection of RVE. Results: RVE was diagnosed (with surgery plus histology) in 60 women. In all cases, the surgical procedure was completed without complications. Sonovaginography and MRI showed high sensitivity (95% vs. 81.7%) and similar specificity (93.8% and 91.2%, respectively) in the diagnosis of RVE. Conclusions: Sonovaginography, when performed by an expert sonographer, may represent a valid alternative to MRI for the diagnosis of RVE, with lower costs and minimal time consumption.

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Laparoscopic Neuronavigation for Deep Lateral Pelvic Endometriosis: Clinical and Surgical Implications

Cited by 31 publications

References 17 publications

Differential Diagnosis of Endometriosis by Ultrasound: A Rising Challenge

Differential Diagnosis of Endometriosis by Ultrasound: A Rising Challenge

Magnetic resonance imaging for deep infiltrating endometriosis: current concepts, imaging technique and key findings

Rectovaginal endometriosis: head to head comparison between sonovaginography and magnetic resonance imaging

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