Laparoscopy for Diagnosis and Treatment of Endometriosis

Al-Jefout, Moamar

doi:10.5772/16733

Cited by 3 publications

(5 citation statements)

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“…The estimated prevalence varies according to geographical area, patient group under investigation, presence versus absence of symptoms, and method of diagnosis. Furthermore, a significant number of cases may never be diagnosed, as medical advice is not sought by the patient due to lack of symptoms or normalization of existing symptoms [ 1 – 7 ]. As diagnosis is typically only confirmed after laparoscopy, data involving asymptomatic patients are likely deficient [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…Endometriosis is a benign gynaecological disease characterized by the presence of endometrial tissue in the form of stroma and glands outside the uterus and is associated with a spectrum of clinical presentations, ranging from asymptomatic women to patients suffering debilitating pelvic pain and/or fertility issues [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…First, the symptoms with which the patient presents may overlap with other conditions, such as adenomyosis, interstitial cystitis and irritable bowel syndrome. Second, the patient may consider her pain to be a normal manifestation of the menstrual cycle, which leads to a delay in seeking medical advice [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of endometriosis in women undergoing laparoscopic surgery for various gynaecological indications at a Jordanian referral centre: gaining insight into the epidemiology of an important women's health problem

et al. 2021

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Background Endometriosis is a considerable health challenge for women of reproductive age. Information about its prevalence in the Jordanian population is sparse. The objective of this research was to evaluate the presence of endometriosis in gynaecological patients undergoing laparoscopic surgery for various indications and to correlate the finding of endometriosis with variables, including patient demographics, obstetric history, type, and indication of laparoscopic procedure. Methods A retrospective cohort study involving 460 women who underwent different laparoscopic procedures for a variety of indications was conducted in the Department of Obstetrics and Gynaecology in Jordan University Hospital, a tertiary referral hospital in Jordan, between January 2015 and September 2020. Results The prevalence of endometriosis in this patient group was higher than that of the general population (13.7% vs. 2.5%), and the mean age at diagnosis (31.9 years) was younger than the general population's age of peak incidence (35–45 years). It was significantly higher in women with lower numbers of pregnancies (p = 0.01) and a lower number of Caesarean sections (p = 0.05) and in those where the indication for surgery was related to decreased fertility or pelvic pain (p = 0.02). Women with high parity or where the surgery's indication suggested normal fertility, such as family planning, were less likely to have endometriosis. Conclusion To our knowledge, this is the first Jordanian study to assess the prevalence of endometriosis in women undergoing gynaecological laparoscopy. This study suggests that the epidemiology of endometriosis in this region follows similar trends to what has been previously documented in international literature, while emphasizing the need for further research into this important women's health issue in this part of the world.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of endometriosis in women undergoing laparoscopic surgery for various gynaecological indications at a Jordanian referral centre: gaining insight into the epidemiology of an important women's health problem

et al. 2021

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“…Similarly, Jefout MA et al, in a follow up study reported that 90% of responders had a pain relief for one year post laparoscopy. 17 Patients were followed up after six months of laparoscopic laser fulguration the patients who had spontaneous conception rates were taken. In minimal 80% conceived, in mild 75%, in moderate 64% and in severe 42% conceived.…”

Section: Discussionmentioning

confidence: 99%

A study of prevalence, severity, stages, conception rate and associated problems in patients with endometriosis

Swapna

Ali²

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Endometriosis should be suspected in women with sub-infertility, dysmenorrhea, dyspareunia or chronic pelvic pain. However, these symptoms can also be associated with other diseases. Endometriosis may be asymptomatic even in some women with more advanced disease. The objective of this study was to prevalence, severity, stages, conception rate and associated problems in patients with endometriosisMethods: Present study was retrospective and prospective study from January 2007 to September 2012 which included 200 infertile patients who underwent laparoscopy and were diagnosed with endometriosis in the Department of Obstetrics and Gynecology at Owaisi Hospital and Research Centre, Hyderabad, Telangana, India.Results: Majority of the patients belonged to the age group of 18-25 years i.e. 45.5%. The most common symptom with which the women presented to the hospital was abnormal uterine bleeding seen in 26% of the cases. Out of total cases, 64% had primary infertility and remaining i.e. 36% had secondary infertility. Ovarian endometrioma was seen in 22% of the cases. Majority of the patients had dysmenorrheal in 62% of the cases. Majority were found out to be present in the stage one or minimal endometriosis i.e. they constituted 78 women which amounted at 39% of the total cases. As the severity of the endometriosis increased, the symptomatic relief rate after laparoscopy decreased. As the severity of the endometriosis increased, the conception rate following laparoscopic laser fulguration decreased. As the severity of the endometriosis increased, the requirement for ART increased.Conclusions: Laparoscopy is considered to be better than laparotomy since there is less morbidity and less adhesions and tissue trauma.

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“…Despite all available imaging techniques, the laparoscopic inspection along with histologic confirmation [ 83 ], remains the gold standard for confirmatory diagnosis of endometriosis. Laparoscopy enables the direct visualization not only of the more superficial implants and endometriomas but also of the adhesion pattern as well as deep infiltrative lesions of the bowel or the urinary system [ 84 ]. The classic appearance of the peritoneal implant is of a blue-black “powder burn” or “shotgun” lesion (resulting from hemosiderin deposits due to entrapped menstrual debris), red or white lesion, while endometriomas can present as smooth-walled, dark, brownish cysts, both of the lesions being strongly associated with the presence of peri adnexal adhesions [ 55 , 85 , 86 ].…”

Section: Endometriosis—epidemiological and Clinical Overviewmentioning

confidence: 99%

Endometriosis Associated Infertility: A Critical Review and Analysis on Etiopathogenesis and Therapeutic Approaches

et al. 2020

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Endometriosis represents a frequently diagnosed gynecological affliction in the reproductive timespan of women, defined by symptoms ranging from pelvic pain to infertility. A complex interplay between the genetic profile, hormonal activity, menstrual cyclicity, inflammation status, and immunological factors define the phenotypic presentation of endometriosis. To date, imaging techniques represent the gold standard in diagnosing endometriosis, of which transvaginal ultrasonography and magnetic resonance imaging bring the most value to the diagnostic step. Current medical treatment options for endometriosis-associated infertility focus on either stimulating the follicular development and ovulation or on inhibiting the growth and development of endometriotic lesions. Techniques of assisted reproduction consisting of superovulation with in vitro fertilization or intrauterine insemination represent effective treatment alternatives that improve fertility in patients suffering from endometriosis. Emerging therapies such as the usage of antioxidant molecules and stem cells still need future research to prove the therapeutic efficacy in this pathology.

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Laparoscopy for Diagnosis and Treatment of Endometriosis

Cited by 3 publications

References 73 publications

Prevalence of endometriosis in women undergoing laparoscopic surgery for various gynaecological indications at a Jordanian referral centre: gaining insight into the epidemiology of an important women's health problem

Prevalence of endometriosis in women undergoing laparoscopic surgery for various gynaecological indications at a Jordanian referral centre: gaining insight into the epidemiology of an important women's health problem

A study of prevalence, severity, stages, conception rate and associated problems in patients with endometriosis

Endometriosis Associated Infertility: A Critical Review and Analysis on Etiopathogenesis and Therapeutic Approaches

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