Prise en charge chirurgicale des abcès tubo-ovariens compliquant une endométriose profonde

Mokdad C, C. Mokdad, Rozsnayi F, Francisc Rozsnayi, F Rozsnayi, Franck Delaunay, Delaunay F, F Delaunay, Gregorczyk V, V. Gregorczyk, Auber M, M. Auber, L Puscasiu, Puscasiu L, Lucian Pușcașiu, L. Marpeau, Marpeau L, H. Roman, Roman H, Horace Roman
Gynecologie, obstetrique & fertilite · 2010 · vol. 38(7-8) , pp. 490–495 · doi:10.1016/j.gyobfe.2010.05.007 · PMID:20579921 · W2022531671
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This paper discusses the surgical management of tubo-ovarian abscesses that complicate deep endometriosis.

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Abstract

Tubo-ovarian abscesses are likely to occur in women suffering from deep endometriosis. The aim of surgical management of tubo-ovarian abscesses is the laparoscopic drainage, while deep endometriosis resection should be delayed. Laparoscopic procedure carried out in emergency does not attempt at the excision of deep endometriotic lesions, and must avoid the choice of the laparoconversion, in order to avoid further changes in the pelvic anatomy rendering more difficult a curative surgery. We report six cases of patients presenting tubo-ovarian abscesses arising on deep endometriosis, and we discuss the choice of the 2-step surgical management. In four cases, deep endometriosis resection has been performed by laparoscopic route few months after the drainage of abscess and provided macroscopically complete excision of the disease.

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Condition tags

endometriosis

MeSH descriptors

Abscess Endometriosis Fallopian Tube Diseases Gynecologic Surgical Procedures Ovarian Diseases Abscess Abscess Adult Drainage Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Female Gynecologic Surgical Procedures Humans Laparoscopy Middle Aged Ovarian Diseases Ovarian Diseases

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 (21)

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License: CC0 · commercial use OK