Operative treatment of endometriosis in the Clinical Centre of Kragujevac during the period 2004-2008.

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This retrospective study analyzed operative treatment of pelvic endometriosis in 88 patients, finding it most common in women aged 26-35, with radical surgery like adnexectomy and hysterectomy frequently performed, and both laparotomy and laparoscopy used.

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This retrospective study analyzed surgical and clinical parameters related to pelvic endometriosis at the Gynaecology-Obstetrics Clinic of the Clinical Centre of Kragujevac over a five-year period (2004–2008), including operative approach and the extent of disease in adjacent pelvic organs. Among 88 patients with an ovarian cyst, elevated CA-125, and histopathologic confirmation of endometriosis, the largest age group was 26–35 years (56.8%), and radical surgery was most commonly performed, with adnexectomy in 53 patients (60.2%) and hysterectomy in 24 patients (45.83%). The paper reports that ovarian endometriosis was often associated with endometriosis in other pelvic organs, and its major limitation is its retrospective design focused on a single center. This paper is centrally about endometriosis — it evaluates operative treatment patterns and disease distribution in surgically treated pelvic endometriosis patients in 2004–2008.

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Abstract

U ovom retrospektivnom istraživanju analizirani su parametri vezani za nastanak i lečenje pelvične endometrioze (operativni zahvat, godine starosti, operativni pristup i konzervativnost operacije,rasprostranjenost endometrioze na okolne organe male karlice) na Ginekološko-akušerskoj klinici Kliničkog centra Kragujevac, tokom petogodišnjeg perioda. Od ukupno 88 pacijentkinja koje su imale cistu na jajniku i povišenu vrednost tumorskog markera Ca 125, te patohistološku verifikaciju endometrioze, najviše ih je bilo starosnedobi od 26 do 35 godina (56,8%). Najčešće je primenjivan radikalni hirurški zahvat, adneksektomija kod 53 (60,2%) i hosterektomija kod 24 (45,83%) pacijentkinje (p0,01). Endometrioza jajnika često je bila udružena i s endometriozomna drugim organima male karlice.
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Medicinski Glasnik (Aug 2010) Operative treatment of endometriosis in the Clinical Centre of Kragujevac during the period 2004-2008. Abstract U ovom retrospektivnom istraživanju analizirani su parametri vezani za nastanak i lečenje pelvične endometrioze (operativni zahvat, godine starosti, operativni pristup i konzervativnost operacije,rasprostranjenost endometrioze na okolne organe male karlice) na Ginekološko-akušerskoj klinici Kliničkog centra Kragujevac, tokom petogodišnjeg perioda. Od ukupno 88 pacijentkinja koje su imale cistu na jajniku i povišenu vrednost tumorskog markera Ca 125, te patohistološku verifikaciju endometrioze, najviše ih je bilo starosnedobi od 26 do 35 godina (56,8%). Najčešće je primenjivan radikalni hirurški zahvat, adneksektomija kod 53 (60,2%) i hosterektomija kod 24 (45,83%) pacijentkinje (p0,01). Endometrioza jajnika često je bila udružena i s endometriozomna drugim organima male karlice.

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endometriosis

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