Role of surgical treatment in endometriosis

Maurizio Nicola D’Alterio, Maurizio N D'Alterio, Stefania Saponara, Gianmarco D’Ancona, Gianmarco D'Ancona, Russo M, Margherita Russo, Antonio Simone Laganà, Antonio S Laganà, Felice Sorrentino, Nappi L, Luigi Nappi, Stefano Angioni, Angioni S
Minerva obstetrics and gynecology · 2021 · vol. 73(3) , pp. 317–332 · doi:10.23736/s2724-606x.21.04737-7 · PMID:34008386 · W3160133377
article OA: closed CC0 ⤵ 19 in-corpus citations
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Surgical treatment of endometriosis aims for complete lesion removal to improve pelvic pain, reduce recurrence, and enhance fertility, with the approach tailored to patient needs and disease severity.

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Abstract

Among them, DIE is considered the most aggressive, and the patient is often affected by more than one type together. The therapeutic methodology should not be influenced by a combination of different types of endometriotic lesion. According to the clinical context and the patient's needs, the treatment of this pathology can be medical or surgical. Although medical therapy could improve endometriosis-associated symptoms, it never offers a definite treatment for symptomatic patients, who often require surgical treatment. The rationale behind endometriosis surgical treatment is to achieve the complete removal of all lesions through a one-step surgical procedure; to obtain promising long-term results for pelvic pain, recurrence rate, and fertility; and to protect the functionality of the involved organs. Achieving these results depends on the total removal of the pathology from the pelvis, in an attempt to preserve, as much as possible, the healthy tissues surrounding the site of the disease. The choice of a surgical approach rather than medical therapy is subject to the patient's expectations, such as pregnancy desire, the effectiveness of treatment compared to possible complications, the type of pain and its intensity, and the location and severity of the disease. In this context, surgical management using a multidisciplinary endometriosis team is an important factor for achieving good outcomes.

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Condition tags

endometriosischronic_pelvic_paindie_deep_infiltrating

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Female Humans Pelvic Pain Pelvic Pain Pelvis Peritoneum Pregnancy

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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Cited by (19)

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