[Laparoscopic surgery of deep endometriosis. About 118 cases]

P. Panel, Panel P, Chis C, C. Chis, S Gaudin, Gaudin S, Stéphanie Pozzi Gaudin, A. Letohic, Letohic A, P. Raynal, Raynal P, M. Mikhayelyan, Mikhayelyan M, B. Fraleu, Fraleu B, Sangana G, G. Sangana, Almeras C, C Almeras, C. Alméras, Charles Dufour, Dufour C, C Dufour, F Boidart, Boidart F
Gynecologie, obstetrique & fertilite · 2006 · vol. 34(7-8) , pp. 583–592 · doi:10.1016/j.gyobfe.2006.06.004 · PMID:16822695 · W2002543898
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Laparoscopic surgery for deep endometriosis, including bowel involvement, improved patient symptoms and fertility, though severe complications occurred in a small percentage of cases.

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Abstract

OBJECTIVE: To evaluate risks and benefits of laparoscopic surgery of deep endometriosis, especially with bowel involvement with the aim of improve the inform consent of patients and choice of adequate management. PATIENTS AND METHODS: Observational continuous study on 118 patients suffering from deep endometriosis (48 with bowel endometriosis) treated by laparoscopic surgery. RESULTS: 95.6% of the patients improved their symptoms (93.7% for dyspareunia). Upon the 29 infertile patients, 21 (72%) got pregnant, including 14 (66%) spontaneously. During operative time, 3 laparotomies occurred, two of them for haemorrhage. During postoperative time, 4 major complications (2 rectal fistulas and 2 ureteral necrosis) and minor complications occurred. DISCUSSION AND CONCLUSIONS: Those data confirm the efficiency of laparoscopic treatment of deep endometriosis especially for pain relief and fertility. Nevertheless, few but severe complications may occur. Therefore, it is imperative to deliver clear, loyal and appropriate information before to proceed to such a treatment.

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Condition tags

dyspareuniaendometriosis

MeSH descriptors

Endometriosis Laparoscopy Laparoscopy Laparoscopy Adult Adult Dyspareunia Dyspareunia Dyspareunia Endometriosis Endometriosis Female Female Humans Humans Infertility, Female Infertility, Female Infertility, Female Intestinal Diseases Intestinal Diseases

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 (93)

Cited by (29)

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License: CC0 · commercial use OK