Classification and Clinical Staging of Endometriosis

In: Endometriosis and Adenomyosis · 2022 · pp. 93–108 · doi:10.1007/978-3-030-97236-3_8 · W4285250103
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The #ENZIAN classification provides a comprehensive, reproducible, and anatomically logical system for describing peritoneal, ovarian, and deep infiltrating endometriosis, improving upon existing classifications.

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Abstract

Classification of the disease has been used primarily for the postoperative staging of the disease. Unfortunately, the most commonly used rASRM classification does not correlate with symptoms or other important parameters, and cannot be used for non-invasive diagnostics. Moreover, it does not take into account deep infiltrating endometriosis but also extra pelvic endometriosis. The EFI is for calculating the probability of pregnancy but does not contain differential information on the location and extent of lesions. The ENZIAN classification is predominantly used to describe DE. The applicability of the Enzian classification with MRI and TVS is possible and allows to assess the difficulty of the surgical procedure and the risk of surgery. The recently released updated version, called the #ENZIAN classification, represents a comprehensive description of peritoneal and ovarian endometriosis as well as adnexal adhesions in addition to deep endometriosis. This system is anatomically logical, easy to use, and more reproducible, providing the physician with a clear picture of the disease. The good correlation between the non-invasive and surgical description of the extent of the disease based on the #Enzian scheme provides a consistent and clear classification of endometriosis, especially DE, but also secondary adhesions. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Change history 10 September 2022 Correction to:

References

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(eds) Endometriosis and Adenomyosis. Springer, Cham. https://doi.org/10.1007/978-3-030-97236-3_8 Download citation DOI: https://doi.org/10.1007/978-3-030-97236-3_8 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-97235-6 Online ISBN: 978-3-030-97236-3 eBook Packages: MedicineMedicine (R0)

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