Endometriosis

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This chapter discusses endometriosis, a common cause of surgery in young women, with unknown etiology and symptoms of pelvic pain and infertility, often requiring colon and rectal surgeon involvement for advanced disease invading the anterior rectal wall.

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This chapter outlines endometriosis as a frequent cause of major surgery in young women, attributing its etiology largely to retrograde menstruation despite the exact mechanism remaining unknown. The text identifies pelvic pain and infertility as primary symptoms, noting that diagnosis and treatment strategies rely heavily on laparoscopic findings. It further details the collaborative role of colon and rectal surgeons in managing severe cases involving frozen pelvises or anterior rectal wall invasion, emphasizing that surgical approaches must be tailored to lesion size and depth to minimize morbidity in healthy patients. This paper is centrally about endometriosis — specifically the surgical management of deep infiltrating lesions involving the colorectal tract.

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Abstract Endometriosis is one of the most common causes for young women undergoing major surgery. The exact etiology is unknown but appears to be related to retrograde menstruation. The predominant symptoms are pelvic pain and infertility. Diagnosis and treatment are usually based on findings at laparoscopy. Colon and rectal surgeons become involved usually assisting gynecologists with patients who have severe advanced disease that both creates a frozen pelvis and invades the anterior rectal wall. The best procedure to remove this nodule depends on the size and depth of the implant. Minimizing morbidity is critical in these young, otherwise, healthy patients. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2019 ASCRS (American Society of Colon and Rectal Surgeons) About this chapter Cite this chapter Snyder, M.J. (2019). Endometriosis. In: Steele, S., Hull, T., Hyman, N., Maykel, J., Read, T., Whitlow, C. (eds) The ASCRS Manual of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-01165-9_42 Download citation DOI: https://doi.org/10.1007/978-3-030-01165-9_42 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-01164-2 Online ISBN: 978-3-030-01165-9 eBook Packages: MedicineMedicine (R0)

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endometriosis

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