Endometriosis: On Uterus, Adnexa, Bowel, Peritoneum, Hematoperitoneum

In: Atlas of Gynecologic Laparoscopy, Robotic-Assisted Laparoscopic Surgery, and Hysteroscopy · 2024 · pp. 35–42 · doi:10.1007/978-3-031-48703-3_6 · W4395056108
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This chapter details the traditional American Society for Reproductive Medicine (ASRM) Revised Staging System and the newer American Association of Gynecologic Laparoscopists' (AAGL) classification for surgically staging endometriosis.

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This chapter describes how endometriosis is surgically staged, focusing on the American Society for Reproductive Medicine (ASRM) Revised Staging System, which standardizes descriptions of tissue extent, appearance (including color changes), and suggestive peritoneal defects. It also outlines a newer classification, the American Association of Gynecologic Laparoscopists (AAGL) Endometriosis Staging Application, intended to incorporate surgical complexity, with details summarized in tables. The key limitation is that the chapter primarily provides classification framework descriptions rather than presenting new patient data or comparative outcomes. This paper is centrally about endometriosis — it reviews surgical staging systems for endometriosis across uterine, adnexal, bowel, peritoneal, and hematoperitoneal involvement.

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Abstract

Endometriosis is surgically staged traditionally with the American Society for Reproductive Medicine’s (ASRM) Revised Staging System [1]. This is a standardized way to describe findings that describe endometriosis with extent of tissue involvement and descriptions that include color changes, as well as peritoneal defects that are suggestive of endometriosis. A new surgical classification system that is meant to also account for surgical complexity is the American Association of Gynecologic Laparoscopists’ Endometriosis Staging Application [2]. A summary of this method is included in Tables 6.1 and 6.2. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Canis M, Donnez JG, Guzick DS, Halme JK, Rock JA, Schenken RS, Vernon MW. Revised American Society for reproductive medicine classification of endometriosis: 1996. Fertil Steril. 1997;67(5):817–21. https://doi.org/10.1016/s0015-0282(97)81391-x. Abrao MS, Andres MP, Miller CE, Gingold JA, Rius M, Neto JS, Carmona F. AAGL 2021 Endometriosis classification: an anatomy-based surgical complexity score. J Minim Invasive Gynecol. 2021;28(11):1941–50. https://doi.org/10.1016/j.jmig.2021.09.709. Porpora MG, Koninckx PR, Piazze J, Natili M, Colagrande S, Cosmi EV. Correlation between endometriosis and pelvic pain. J Am Assoc Gynecol Laparosc. 1999;6(4):429–34. https://doi.org/10.1016/s1074-3804(99)80006-1. Foti PV, Ognibene N, Spadola S, Caltabiano R, Farina R, Palmucci S, Milone P, Ettorre GC. Non-neoplastic diseases of the fallopian tube: MR imaging with emphasis on diffusion-weighted imaging. Insights Imaging. 2016;7(3):311–27. https://doi.org/10.1007/s13244-016-0484-7. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG About this chapter Cite this chapter Khalil, S. (2024). Endometriosis: On Uterus, Adnexa, Bowel, Peritoneum, Hematoperitoneum. In: Khalil, S., Zakashansky, K. (eds) Atlas of Gynecologic Laparoscopy, Robotic-Assisted Laparoscopic Surgery, and Hysteroscopy. Springer, Cham. https://doi.org/10.1007/978-3-031-48703-3_6 Download citation DOI: https://doi.org/10.1007/978-3-031-48703-3_6 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-031-48705-7 Online ISBN: 978-3-031-48703-3 eBook Packages: MedicineMedicine (R0)

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