Surgical management of endometriosis

Donnez J, Jacques Donnez, Céline Pirard, Pirard C, Mireille Smets, Smets M, Pascale Jadoul, Jadoul P, Squifflet J, Jean Squifflet
Best practice & research. Clinical obstetrics & gynaecology · 2004 · vol. 18(2) , pp. 329–348 · doi:10.1016/j.bpobgyn.2004.03.004 · PMID:15157646 · W2106304510
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This paper reviews the surgical management of endometriosis, detailing various approaches and their efficacy.

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Abstract

The efficacy of medical and surgical treatment of endometriosis-associated infertility and pelvic pain is a source of ongoing controversy. Complete resolution of endometriosis is not yet possible and current therapy has three main objectives: (1) to reduce pain; (2) to increase the possibility of pregnancy; and (3) to delay recurrence for as long as possible. It is possible that a consensus will never be reached on the optimal treatment of minimal and mild endometriosis. In case of moderate and severe endometriosis-associated infertility, the combined approach (operative laparoscopy with a gonadotropin-releasing hormone (GnRH) agonist) should be considered as 'first-line' treatment. The mean pregnancy rate of 50% reported in the literature following surgery provides scientific proof that operative treatment should first be undertaken to give our patients the best chance of conceiving naturally. In case of rectovaginal adenomyotic nodules, surgery must be considered as first-line therapy, medical therapy being relatively in-efficacious.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Evidence-Based Medicine Female Humans Infertility, Female Infertility, Female Infertility, Female Laparoscopy Laparoscopy Ovarian Diseases Ovarian Diseases Ovarian Diseases Peritoneal Diseases Peritoneal Diseases Retroperitoneal Space

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 (100)

Cited by (50)

Source provenance

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License: CC0 · commercial use OK