РЕЦИДИВИРУЮЩИЙ ЭНДОМЕТРИОЗ. ФАКТОРЫ РИСКА

Ламонова, Светлана Сергеевна, Елгина, Светлана Ивановна, Большанина, Екатерина Александровна, Большанина, Елизавета Евгеньевна, Сокирник, Мария Дмитриевна, Рудаева, Елена Владимировна, Мозес, Кира Борисовна
2025 · W7025443202
other OA: green CC0
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The paper reviews and analyzes evidence on recurrent external genital endometriosis after surgical treatment, emphasizing that recurrence risk remains substantial even when endometriotic foci are successfully removed. It frames endometriosis as a chronic condition with manifestations such as chronic pain and infertility and focuses on factors that influence the likelihood of recurrence following operation. A key limitation is that, based on the provided text, only general background is accessible and specific cohort methods, measured risk factors, and quantitative results are not detailed in the excerpt. This paper is centrally about endometriosis — it focuses on risk factors for recurrence of external genital endometriosis after surgical treatment.

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Abstract

Endometriosis is a chronic gynecological disease in which endometrial—like tissue develops outside the uterus, causing a variety of clinical manifestations, including chronic pain, infertility, and other complications. The main current treatment for endometriosis is surgery to remove the foci of endometriosis. However, scientific studies show that the risk of recurrence remains significant even after successful surgical intervention.
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Abstract

Endometriosis is a chronic gynecological disease in which endometrial—like tissue develops outside the uterus, causing a variety of clinical manifestations, including chronic pain, infertility, and other complications. The main current treatment for endometriosis is surgery to remove the foci of endometriosis. However, scientific studies show that the risk of recurrence remains significant even after successful surgical intervention.

Keywords

Article Details Information about financing and conflict of interests The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article. This work is licensed under a Creative Commons Attribution 4.0 License. How to Cite

References

Borisova AV, Kozachenko AV, Frankevich VE, Chagovets VV, Kononokhin AS, Starodubtseva NL, et al. Risk factors for recurrence of external genital endometriosis after surgical treatment: prospective cohortant study. Medical Council. 2018; (7): 32-38. Russian (Борисова А.В., Козаченко А.В., Франкевич В.Е., Чаговец В.В., Кононихин А.С., Стародубцева Н.Л., и др. Факторы риска развития рецидива наружного генитального эндометриоза после оперативного лечения: проспективное когортное исследование //Медицинский Совет. 2018. № 7. С. 32-38.) doi: 10.21518/2079-701X-2018-7-32-38 Senina DN, Pashaeva SA, Kulakova YuA, Chuprynin VD, Asaturova AV, Ezhova LS, et al. Clinical and history features of patients with recurrent deep endometriosis: A retrospective study. Gynecology. 2024; 26(1): 45-51. Russian (Сенина Д.Н., Пашаева С.А., Кулакова Ю.А., Чупрынин В.Д., Асатурова А.В., Ежова Л.С., и др. Клинико-анамнестические особенности пациенток с рецидивом глубокого эндометриоза //Гинекология. 2024. Т. 26, № 1. С. 45-51.) doi: 10.26442/20795696.2024.1.202615 Pavlov RV, Kundohova MS. The prognosis of external genital endometriosis recurrence. Astrakhan medical journal. 2011; 6(3): 119-121. Russian (Павлов Р.В., Кундохова М.С. Прогнозирование рецидивов наружного генитального эндометриоза //Астраханский медицинский журнал. 2011. Т. 6, № 3. С. 119-121) Chizhova AV, Mangileva YaA, Kudryavtseva EV, Oboskalova TA. Risk factors for the development of ovarian endometrioma recurrence after surgical treatment in metropolitan areas. Russian Bulletin of Obstetrician-Gynecologist. 2022; 22(6): 6‑12. Russian (Чижова А.В., Мангилева Я.А., Кудрявцева Е.В., Обоскалова Т.А. Факторы риска развития рецидива эндометриомы яичника после оперативного лечения в условиях мегаполиса //Российский вестник акушера-гинеколога. 2022. Т. 22, №6. С. 6‑12.) doi: 10.17116/rosakush2022220616 Han S, Lee H, Kim S, Joo J, Suh D, Kim K, et al. Risk factors related to the recurrence of endometrioma in patients with long-term postoperative medical therapy. Ginekol Pol. 2018; 89(11): 611-617. doi: 10.5603/GP.a2018.0105 Holdsworth-Carson SJ, Chung J, Machalek DA, Li R, Jun BK, Griffiths MJ, et al. Predicting disease recurrence in patients with endometriosis: an observational study. BMC Med. 2024; 22(1): 320. doi: 10.1186/s12916-024-03508-7 Pronina VA, Sokolova AV, Chernukha GE. Clinical manifestations and recurrence rates of various forms of extragenital endometriosis. Obstetrics and Gynecology. 2023; (12): 134-142. Russian (Пронина В.А., Соколова А.В., Чернуха Г.Е. Клинические проявления и частота рецидивов различных форм наружного генитального эндометриоза //Акушерство и гинекология. 2023. № 12. C. 134-142.) doi: 10.18565/aig.2023.234 Qiong Chen, Jing Wang, Xiaoya Ding, Qingfei Zhang, Ping Duan. Emerging strategies for the treatment of endometriosis. Biomedical Technology. 2024; 7(1997); 46-62. doi: 10.1016/j.bmt.2024.08.002 Veth VB, Keukens A, Reijs A, Bongers MY, Mijatovic V, Coppus SFPJ, et al. Recurrence after surgery for endometrioma: a systematic review and meta-analyses. Fertil Steril. 2024; 122(6): 1079-1093. doi: 10.1016/j.fertnstert.2024.07.033 Zakhari A, Delpero E, McKeown S, Tomlinson G, Bougie O, Murji A. Endometriosis recurrence following post-operative hormonal suppression: a systematic review and meta-analysis. Hum Reprod Update. 2021; 27(1): 96-107. doi: 10.1093/humupd/dmaa033

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