Laparoscopic Surgical Management of Diaphragmatic Endometriosis

C Nezhat, Ceana Nezhat, D S Seidman, Seidman DS, Daniel S. Seidman, Nezhat F, F Nezhat, Farr Nezhat, Nezhat C, Camran Nezhat
Fertility and sterility · 1998 · vol. 69(6) , pp. 1048–1055 · doi:10.1016/s0015-0282(98)00056-9 · PMID:9627291 · W2150992801
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This paper presents the laparoscopic surgical management of diaphragmatic endometriosis, detailing techniques and outcomes for this rare condition.

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Abstract

ObjectiveTo review the clinical presentations of and management options for diaphragmatic endometriosis.DesignRetrospective review.SettingReferral center.Patient(s)Twenty-four women with endometriosis of the diaphragm.Intervention(s)Surgical management.Main outcome measure(s)Diagnostic accuracy and therapeutic feasibility of operative laparoscopy.Result(s)Operative findings in 17 patients included 2-5 spots of endometriosis on the diaphragm measuring <1 cm. Seven women had numerous lesions scattered across the diaphragm. Lesions were bilateral in 8 patients, limited to the right hemidiaphragm in 14 patients, and limited to the left hemidiaphragm in 2 patients. In 7 patients, six endometriosis lesions were directly in the line of the left ventricle and three lesions were adjacent to the phrenic nerve. Endometriosis was infiltrating into the muscular layer of the diaphragm in 7 patients. The symptoms in all 7 symptomatic patients decreased significantly after treatment, with a minimum follow-up period of 12 months. No postoperative complications occurred.Conclusion(s)The abdominal diaphragm can be involved with endometriosis and can be diagnosed and treated effectively with the use of videolaparoscopy.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Diaphragm Endometriosis Laparoscopy Muscular Diseases Adolescent Adult Diaphragm Diaphragm Diaphragm Endometriosis Endometriosis Endometriosis Feasibility Studies Female Humans Muscular Diseases Muscular Diseases Muscular Diseases Retrospective Studies Ultrasonography

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.

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Cited by (50)

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