Endometriosis--a missed malady

Marti M. Taylor, Taylor MM
AORN journal · 2003 · vol. 77(2) , pp. 297–313 · doi:10.1016/s0001-2092(06)61200-3 · PMID:12619848 · W2105231589
Review OA: closed CC0 ⤵ 11 in-corpus citations
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This article discusses the use of the ultrasonic scalpel for laparoscopic resection of endometrial implants, detailing the perioperative course of patients with endometriosis, a condition often missed due to subtle symptoms.

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Abstract

Endometriosis is a disease that affects approximately 5.5 million girls and women in their reproductive years in the United States and Canada. During the menstrual cycle, the endometrial lining of the uterus thickens in preparation to receive a fertilized egg. If fertilization does not occur, this lining sloughs off during menstruation. Endometrial tissue can migrate out of the fallopian tubes and grow outside of the uterus as endometrial implants. This can result in severe pain. Endometriosis is very difficult to detect because most women become accustomed to painful menstrual cycles at an early age. The disease often will go undiagnosed because even with extensive endometriosis it is possible to have minimal symptoms or none at all. Physicians have few diagnostic tools to detect the scars and growths of endometriosis. The only way to confirm the diagnosis and stage of endometriosis is by laparoscopy. Treatment options include hormone therapy and surgery. In the past, the most successful treatment was open laparotomy with excision of the endometrial implants. This article discusses the use of the ultrasonic scalpel to resect endometrial implants through the laparoscope. The patient's perioperative course also is discussed.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Perioperative Nursing Adult Adult Endometriosis Endometriosis Endometrium Endometrium Endometrium Female Female Humans Humans Laparoscopy Laparoscopy Laparoscopy Laparoscopy Nursing Assessment Nursing Assessment

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (5)

Cited by (13)

SciLite annotations

organisms 1
noordeloos 2009062

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License: CC0 · commercial use OK