Endometriosis

In: Clinical Perspectives in Obstetrics and Gynecology · 1996 · pp. 199–214 · doi:10.1007/978-1-4612-2330-6_14 · W4234152238
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Endometriosis remains a mystifying disease despite decades of attention, suggesting fundamental concepts regarding its nature may be inaccurate.

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This paper is a historical and conceptual overview of endometriosis, referencing earlier clinical descriptions and highlighting that the disease’s high prevalence contrasts with persistent uncertainty about fundamental mechanisms, such as proposed autoimmune, immunologic (natural killer cell activity), and other etiologic hypotheses, along with diagnostic nuances like “non-visualized” or “microscopic” peritoneal endometriosis. It also surveys research themes including classification and staging reproducibility, relationships among lesion extent/age/symptoms, biomarkers such as serum CA-125, and comparative evaluations of medical and surgical management approaches, including laparoscopy and second-look concepts. A major limitation is that the provided text appears to be an excerpt/review-style collection of citations rather than a single, methods-described original study with a defined population and results. This paper is centrally about endometriosis — it reviews the disease’s concepts, evidence base, and research directions using a broad set of cited studies.

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Abstract

Since the classic description by Cullen in 1920,1 endometriosis has attracted sustained and well deserved attention by clinicians, researchers, and patients. That such a common disease could remain so mystifying after so many decades suggests that fundamental concepts regarding the disease may be in error. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Davis GD, Brooks RA: Excision of pelvic endometriosis with the carbon dioxide laser laparoscope. Obstet Gynecol 1988; 72: 816. Hulka JF: Power: electricity and laser. In Text-book of Laparoscopy, Hulka JF, Reich H (eds). Philadelphia, Saunders, 1994, pp 23 – 46. Redwine DB, Sharpe DR: Laparoscopic segmental resection of the sigmoid colon. J Laparoendosc Surg 1991; 1: 217. Sharpe DR, Redwine DB: Laparoscopic segmental resection of the sigmoid and rectosigmoid colon for endometriosis. Surg Laparosc Endosc 1992; 2: 120. Nezhat F, Nezhat C, Pennington E: Laparoscopic proctectomy for infiltrating endometriosis of the rectum. Fertil Steril 1992; 57: 1129. Kempers RD, Dockerty MB, Hunt AB, et al: Significant postmenopausal endometriosis. Surg Gynecol Obstet 1960; 3: 348. Venter PF, Anderson JD, van Velden DJ: Post-menopausal endometriosis: a case report. S Afr Med J 1979; 56: 1136. Metzger DA, Lessey BA, Soper JT, et al: Hormone-resistant endometriosis following total abdominal hysterectomy and bilateral salpingo-oophorectomy: correlation with histology and steroid receptor content. Obstet Gynecol 1991; 78: 946. Spence MR: Endometriosis occurring eight years after total abdominal hysterectomy and bilateral salpingo-oophorectomy. Am J Gynecol Health 1992; 6: 22. Schram JD: Endometriosis after pelvic cleanout. South Med J 1978; 71: 1414. O’connor DT: Endometriosis. In Current Review in Obstetrics and Gynaecology, Singer A, Jordan J (eds). Melbourne, Churchill Livingstone, 1987, pp 11 – 12. Redwine DB: Endometriosis persisting after castration: clinical characteristics and results of surgical management. Obstet Gynecol 1994; 83: 405. Adamason GD, Subak LL, Pasta DJ, et al: Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata. Fertil Steril 1992; 57: 965. Adamson GD, Hurd SJ, Pasta DJ, et al: Laparoscopic endometriosis treatment: is it better? Fertil Steril 1993; 59: 35. Editor information Editors and Affiliations Rights and permissions Copyright information © 1996 Springer Science+Business Media New York About this chapter Cite this chapter Redwine, D.B. (1996). Endometriosis. In: Sanfilippo, J.S., Levine, R.L. (eds) Operative Gynecologic Endoscopy. Clinical Perspectives in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2330-6_14 Download citation DOI: https://doi.org/10.1007/978-1-4612-2330-6_14 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4612-7505-3 Online ISBN: 978-1-4612-2330-6 eBook Packages: Springer Book Archive

Keywords

- Uterosacral Ligament - Pelvic Endometriosis - External Iliac Vein - American Fertility Society - Intestinal Endometriosis These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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endometriosis

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