Endometriosis is a Surgical Disease

In: Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology · 2003 · pp. 204–215 · doi:10.1007/978-1-4471-0655-5_28 · W185178584
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This paper discusses the historical evolution of understanding endometriosis from a simple definition to recognizing its increased prevalence and diverse appearances, impacting concepts of its cause, progression, and treatment.

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Abstract

Our understanding of endometriosis has changed dramatically over the past decade. Introduced clinically at the beginning of this century, as ovarian “chocolate cysts”1 and as adenomyosis externa,2–4 it was defined as endometrial glands and stroma outside the uterus. According to this definition, black puckered lesions in the pelvis were soon recognised as endometriosis, making it a frequently observed disease. When, in the 1980s, non-pigmented endometriotic lesions were also described,5–8 the prevalence of the disease increased from 5–20% to over 60–80% of women with infertility and/or pelvic pain.9–18 Simultaneously with the increasing awareness of the prevalence of endometriosis, our concepts of aetiology, pathophysiology, natural history and therapy have evolved. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Fertil Steril 59:963–970 Shaw RW (1990) Nafarelin in the treatment of pelvic pain caused by endometriosis. Am J Obstet Gynecol 162:574–576 Koninckx PR, Stukkens K, Meuleman C (1991) Cumulative pregnancy rates following C02-laser-endoscopic surgery for deeply infiltrating endometriosis. Proc FIGO, Singapore Koninckx PR, Deprest J, Janssen G et al (1993) Cumulative pregnancy rates following C02-laser endoscopic excision of deeply infiltrating endometriosis. Fertil Steril, Montreal meeting Buttram VC (1993) Rationale for combined medical and surgical treatment of endometriosis. In: Brosens IA, Donnez J (eds) The current status of endometriosis. Parthenon Publishing, New York, pp 32–406 Rights and permissions Copyright information © 2003 Springer-Verlag London Limited About this chapter Cite this chapter Koninckx, P.R. (2003). Endometriosis is a Surgical Disease. In: Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology. Springer, London. https://doi.org/10.1007/978-1-4471-0655-5_28 Download citation DOI: https://doi.org/10.1007/978-1-4471-0655-5_28 Publisher Name: Springer, London Print ISBN: 978-1-4471-1170-2 Online ISBN: 978-1-4471-0655-5 eBook Packages: Springer Book Archive

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