{"paper_id":"768c2df2-d4c2-479c-938b-7e153793059e","body_text":"Abstract\nEndometriosis is one of the three major causes of pelvic adhesions in women. It affects young women, causing infertility and pelvic pain, and can result in ovarian disease, compromising seriously the ovarian function. In addition, the disease develops insidiously and by time the diagnosis is established, adhesions have frequently caused severe disease. Surgery is the treatment of choice but, unfortunately, is also a cause of adhesion formation. As can be anticipated, once a vicious circle of adhesive pelvic disease and repeat surgery is established, the only road out leads to radical surgery and premature castration. Nevertheless, the disease is benign and there is a risk of undertreatment, but probably even more of overtreatment. Excessive surgery can result in loss of normal ovarian tissue and postoperative adhesions in recurrent cyst formation. Consequently, the first surgical procedure may well determine the reproductive outcome in young women affected by the disease, and therefore both the decision to operate and the performance of the procedure require the best possible consideration and care.\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nMartin DC, Hubert GD, Van der Zwaag R, El-Zeky FA. Lap-aroscopic appearances of peritoneal endometriosis. Fertil Steril 1989; 51:63–67.\nVasquez G, Comillie F, Brosens IA. Peritoneal endometriosis: scanning electron microscopy and histology of minimal pelvic endometriotic lesions. Fertil Steril 1984; 42:696–703.\nCornillie FJ, Brosens IA, Vasquez G, Riphagen I. Histologic and ultrastructural changes in human endometriotic implants treated with the antiprogesterone steroid ethyl-norgestrienone (gestrinone) during 2 months. 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Endometriosis, Endometrioma, and the Problem of Adhesions. In: diZerega, G.S. (eds) Peritoneal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1194-5_24\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4612-1194-5_24\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4612-7040-9\nOnline ISBN: 978-1-4612-1194-5\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}