The association of clinical symptoms with deep infiltrating endometriosis: the importance of the preoperative clinical assessment

Pamela Stratton
Human Reproduction · 2014 · vol. 29(8) , pp. 1627–1628 · doi:10.1093/humrep/deu131 · PMID:24903200 · W2126367830
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This study developed and validated a clinical scoring system using patient symptoms to predict the preoperative existence of deep infiltrating endometriosis, aiding surgical planning.

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Abstract

Over the last several years, with improvements in laparoscopic surgical techniques, specialized surgical teams have successfully been able to safely excise deep endometriosis lesions that infiltrate into and may compromise the bladder, bowel, ureter and other pelvic regions. Excision of deep infiltrating endometriosis (DIE) lesions warrant special surgical approaches and may necessitate either additional training or a multidisciplinary team of general surgeons and urologists working alongside gynecologists. Lafay Pillet and her colleagues are surgical specialists at a well-recognized referral center of excellence for these challenging endometriosis cases. In their paper included in this issue of the Human Reproduction, they address a key aspect of the surgical management of DIE lesions (Lafay Pillet et al., 2014). Using clinical symptoms, they develop a clinical scoring system which helps to predict the existence of DIE lesions preoperatively. With validation of this model, it has the potential to help surgeons identify which women may have DIE lesions and thus aid in planning the surgical approach to these patients.

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Condition tags

mesh:D004715endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Endometriosis Female Humans

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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