New technologies in surgical treatment of deep infiltrative and superficial peritoneal endometriosis

In: Reproductive Endocrinology · 2014 · vol. 0(16) , pp. 7 · doi:10.18370/2309-4117.2014.16.7-9 · W2219366254
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Combining ultrasonic hooks, scissors, and cold plasma coagulation minimizes surgical trauma and improves postoperative recovery for endometriosis, while radical peritoneumectomy may offer benefits for pain and fertility pending further research.

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This paper discusses new surgical technologies for treating deep infiltrative and superficial peritoneal endometriosis, focusing on combining an ultrasonic hook and scissors with cold plasma coagulation to minimize surgical trauma. It reports that this approach is intended to improve the postoperative period and reduce hospital stay, and it contrasts these options with radical peritoneumectomy, noting that the latter has advantages over excision or vaporization in reducing chronic pelvic pain and improving reproductive results. The authors state that evidence comparing these strategies is not yet definitive and requires further research. This paper is centrally about endometriosis — specifically, it evaluates surgical technologies using ultrasonic energy and cold plasma coagulation for deep infiltrative and superficial peritoneal disease.

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Abstract

Ultrasonic hook and scissors combined with cold plasma coagulation in the surgical treatment of patients with deep infiltrating endometriosis and superficial peritoneal minimizes surgical trauma, improve the postoperative period, reduce hospital stay. Radical peritoneumectomy has advantages over excision or vaporization of peritoneal endometriosis implants in reducing chronic pelvic pain and improve reproductive results, but these data require further researches and evidences.
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New technologies in surgical treatment of deep infiltrative and superficial peritoneal endometriosis DOI: https://doi.org/10.18370/2309-4117.2014.16.7-9Keywords: endometriosis, surgical treatment, ultrasonic energy, cold plasma coagulationAbstract Ultrasonic hook and scissors combined with cold plasma coagulation in the surgical treatment of patients with deep infiltrating endometriosis and superficial peritoneal minimizes surgical trauma, improve the postoperative period, reduce hospital stay. Radical peritoneumectomy has advantages over excision or vaporization of peritoneal endometriosis implants in reducing chronic pelvic pain and improve reproductive results, but these data require further researches and evidences. References - Zaporozhan, V.M. «Operative Gynecology.» Odessa: Odessa State Medical University, (2006): 120-134. - Kochhar, P.K. Ghosh, P. «A comparative study of the use of different energysources in laparoscopic management of endometriosis-associated infertility.» World J. Laparosc. Surg, 4 (2011): 89-95. - Kondo, W. et al. «Surgery for deep infiltrating endometriosis: technique and rationale.» Front. Biosci. (Elite Ed), 5 (2013): 316-332. - Antonutti, R. et al. «Experimental study of monopolar electrical and ultrasonic dissection.» Ann. Chir, 126 (2001): 330-335. - NICE. IPG171 Laparoscopic helium plasma coagulation of endometriosis - guidance. NICE. - Chen, Y. et al. «The application and development of ultrasonic scalpel.» Sheng wuyixue gong chengxuezazhi J. Biomed. Eng.» 22(2005): 377-380. - Robbins, M.L. «Excision of endometriosis with laparosonic coagulating shears.» J. Am. Assoc. Gynecol. Laparosc, 6(1999): 199-203. - Auber, M. et al. «Ultrasound ovarian assessments after endometrioma ablation using plasma energy.» Fertil. Steril, 95(8) (2011): 2621-4.e1. - Roman, H. et al. «Postoperative recurrence and fertility after endometrioma ablation using plasma energy: retrospective assessment of a 3-year experience.» J. Minim. Invasive Gynecol, 20(5): 573-582. - Roman, H. et al. «Vaporization of ovarian endometrioma using plasma energy: histologic findings of a pilot study.» Fertil. Steril, 95(5) (2011):1853–1861. Downloads Published How to Cite Issue Section License Copyright (c) 2014 В. М. Запорожан, І. З. Гладчук, Н. М. Рожковська, А. Г. Волянська, В. Л. Кожаков This work is licensed under a Creative Commons Attribution 4.0 International License. Authors who publish with this journal agree to the following terms: - Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. - Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

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endometriosisdie_deep_infiltratingchronic_pelvic_pain

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