L’endométriose pelvienne profonde : prise en charge thérapeutique et proposition d’une « classification chirurgicale »

C. Chapron, Charles Chapron, Chapron C, Jean Dubuisson, Dubuisson JB, J B Dubuisson, Chopin N, ChopinNicolas, Nicolás Chopin, N Chopin, H. Foulot, Foulot H, S Jacob, Jacob S, Simon N. Jacob, Vieira M, M Vieira, Habib Barakat, Barakat H, H Barakat, A Fauconnier, Fauconnier A, Arnaud Fauconnier
Gynecologie, obstetrique & fertilite · 2003 · vol. 31(3) , pp. 197–206 · doi:10.1016/s1297-9589(03)00045-6 · PMID:12770802 · W2012643338
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This paper discusses the therapeutic management of deep pelvic endometriosis and proposes a new surgical classification system.

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Abstract

Deep pelvic endometriosis presents essentially in the form of a painful syndrome dominated by deep dyspareunia and painful functional symptoms that recur according to the menstrual cycle, with the semiology directly correlated with the location of the lesions (bladder, rectum). It is essential to investigate these deep endometriosis lesions and draw up a precise map, which is the only way to be sure that exeresis will be complete. The treatment of first intention remains surgery, and medical treatment is only palliative in the majority of cases. Success of treatment depends on how radical surgical exeresis is. Based on analysis of the anatomical distribution of deep pelvic endometriosis lesions, a "surgical classification" is proposed with the aim of establishing standard modes for surgical treatment. Further studies are required to clarify the place and modes for pre- and postoperative medical treatment.

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Condition tags

dyspareuniaendometriosischronic_pelvic_pain

MeSH descriptors

Adnexal Diseases Adnexal Diseases Endometriosis Endometriosis Adnexal Diseases Adnexal Diseases Adult Dyspareunia Dyspareunia Endometriosis Endometriosis Female Humans Pelvic Pain Pelvic Pain Perioperative Care Perioperative Care Syndrome Treatment Outcome

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (83)

Cited by (46)

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