Hysterectomy in the Surgical Management of Endometriosis

In: Hysterectomy · 2017 · pp. 687–696 · doi:10.1007/978-3-319-22497-8_48 · W2756019416
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Hysterectomy is a viable treatment for endometriosis-related pelvic pain in severely debilitated women no longer desiring fertility, demonstrating efficiency and patient satisfaction despite potential residual pain.

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This chapter reviews the role of hysterectomy as a surgical option for endometriosis-related chronic pelvic pain, focusing on severely symptomatic patients who no longer want to retain reproductive function. It describes that hysterectomy can be effective and is associated with high patient satisfaction, while also noting that residual pain occurs in a significant subset of cases, even among younger patients, and that decisions about concomitant salpingo-oophorectomy remain debated. A key limitation stated is that the benefit and symptom outcomes are not uniform, with symptom persistence/recurrence highlighted in the broader literature it cites. This paper is centrally about endometriosis — it specifically addresses hysterectomy’s place in the surgical management of endometriosis-related pelvic pain and considerations such as residual symptoms and extent of surgery.

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Abstract

While the role of hysterectomy in the management of chronic pelvic pain is subject to debate, it is considered a viable option for the treatment of endometriosis. It is performed in patients severely debilitated by symptoms who no longer wish to retain reproductive function. There is evidence to support its rationale as well as its efficiency in treating endometriosis related pelvic pain. It yields a high level of satisfaction in patients despite their young age and the presence of residual pain in a significant number of cases. It should be part of a radical approach, nevertheless the role of concomittant salpingo-oophorectomy is still subject to debate. Performing a hysterectomy in a context of endometriosis entails the application of a general strategy that aims to restore the anatomy and identify important landmarks. A preparatory operative step is thus often necessary before the usual key surgical steps of hysterectomy can be performed. 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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(2018). Hysterectomy in the Surgical Management of Endometriosis. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_48 Download citation DOI: https://doi.org/10.1007/978-3-319-22497-8_48 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-22496-1 Online ISBN: 978-3-319-22497-8 eBook Packages: MedicineMedicine (R0)

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