{"paper_id":"aa5948b6-b106-48fa-8eb2-0835f8af132c","body_text":"Pearls and Pitfalls\n-\nEndometriosis in the early stages (preinvasive) may be halted by medical therapy; in the late states, surgery is the best treatment.\n-\nMost mild endometriosis progresses; therefore, diagnosis and treatment as soon as possible is important in avoiding infertility and the worsening of pain.\n-\nIf the pain is unresponsive to oral contraceptive pills and non-steroidal anti-inflammatory drugs, laparoscopy is indicated.\n-\nCurrent treatment of endometriosis may involve multiple modalities (medical, psychological, surgical) and multiple specialists (gynecologist, urologist, general surgeon or colorectal surgeon, gastroenterologist, pain management specialist, psychiatrist).\n-\nLaparoscopy is the procedure of choice as it allows for simultaneous diagnosis and treatment.\n-\nDuring endometrioma removal, one should be careful to avoid injuring the ovarian blood supply. Otherwise, the ovary will malfunction because of its communication hormonally with the hypothalamic-pituitary axis.\n...\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSelected Readings\nBatt RE, Udagaw SM, Wheeler JM (1992) Endometriosis: micoconservative surgery. In: Hunt RB (ed) Atlas of female infertility surgery, 2nd edn. Year Book Medical Publishers, Chicago, IL\nCoronado C, Franklin R, Lotze EC, et al. (1990) Surgical treatment of symptomatic colorectal endometriosis. Fertil Steril 53:411–416\nMangal RK, Taskin O, Nezhat C, Franklin R (1996) Laparoscopic vaporization of diaphragmatic endometriosis in a woman with epigastric pain: a case report. J Reprod Med 41:64–66\nMartin DC (ed) (1986) Intra-abdominal laser surgery, 2nd edn. Research Press, Memphis, TNd\nMartinez A, Bolanos R, Escobar L, Mangal R, Franklin R, et al. (2004) Endometriosis inguinal: evidencia de enfermedad agresiva: informe de un caso. Perinatol Reprod Hum 18:199–202\nNezhat C, Nezhat F, Pennigton E (1992) Laparoscopic treatment of lower colorectal and infiltrative rectovaginal septum endometriosis by the technique of video laparoscopy. Br J Obstet Gynecol 199:664–667\nSampson JA (1927) Peritoneal endometriosis due to menstrual dissemination of endometrial tissue into the peritoncal cavity. Am J Obstet Gynecol 14:22\nSimpson J, Elias S, Malinas L (1980) Heritable aspects of endometriosis: genetic studies. Am J Obstet Gynecol 137:327–331\nTerloar SA, et al. (2005) Genome wide linkage study in 1,176 affected sister pair familias identifies a significant susceptibility lucus for endometriosis on chromosome 10q26. Am J Human Genet 77:365–376\nTulikangas PK, Robinson BS, Falcone T (2003) Left upper quadrant cannula insertion. Fertil Steril 79:411–412\nZullo F, Palomba S, Zupi E, et al. (2004) Long-term effectiveness of presacral neurectomy for the treatment of severe dysmenorrhea due to endometriosis. J Am Assn Gynecol Laparosc 11:23–28\nAuthor information\nAuthors and Affiliations\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2009 Springer Science+Business Media, LLC\nAbout this entry\nCite this entry\nMangal, R.K., Franklin, R.R. (2009). Endometriosis. In: Bland, K.I., Büchler, M.W., Csendes, A., Sarr, M.G., Garden, O.J., Wong, J. (eds) General Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-833-3_171\nDownload citation\nDOI: https://doi.org/10.1007/978-1-84628-833-3_171\nPublisher Name: Springer, London\nPrint ISBN: 978-1-84628-832-6\nOnline ISBN: 978-1-84628-833-3\neBook Packages: MedicineReference Module Medicine\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}