Surgical Interventions

In: Endometriosis in Adolescents · 2020 · pp. 581–593 · doi:10.1007/978-3-030-52984-0_35 · W4236373086
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Laparoscopic surgery for endometriosis involves identifying and removing lesions to restore normal anatomy, with deeply infiltrative nodules prioritized for excision to alleviate pain.

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This chapter reviews surgical interventions for endometriosis, focusing on adolescents and young patients, and outlines common laparoscopic “see and treat” approaches in which staging is based on abdominal observation at the start of surgery, followed by restoration of normal anatomy via adhesion removal and excision or ablation of lesions. It emphasizes that if deeply infiltrative endometriosis is identified during dissection, nodules should be removed because they are described as origins of pain rather than endometriomas, and notes that postoperative hormonal therapy should continue until conception is desired. The main limitation is that the chapter presents a narrative, guideline-style framework rather than reporting original comparative trial data within this text. This paper is centrally about endometriosis — it provides an overview of laparoscopic surgical management strategies in adolescents.

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Abstract

Endometriosis is defined as the presence of endometrial glands and stroma outside of the uterine cavity. Up to 70% of adult endometriosis patients state that their symptoms started before their 20s. Early diagnosis and interventions will contribute to better quality of life in adolescents. Surgery is almost always done laparoscopically with the catchphrase “See and Treat.” Staging of the disease is determined by abdominal observation at the beginning of surgery. Normal anatomy is then restored via adhesion removal followed by excision or ablation of the lesions. If deeply infiltrative endometriosis is diagnosed during dissection, nodules should be removed as they are the origins of pain rather than the endometriomas. Postoperative hormonal therapy should continue until the patient desires conception. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Surgical Interventions. In: Nezhat, C.H. (eds) Endometriosis in Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-030-52984-0_35 Download citation DOI: https://doi.org/10.1007/978-3-030-52984-0_35 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-52983-3 Online ISBN: 978-3-030-52984-0 eBook Packages: MedicineMedicine (R0)

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