[Surgical treatment of endometriosis].

Ceska gynekologie · 2000 · vol. 65(2) , pp. 103–7 · PMID:10953481 · W2418449493
article OA: closed CC0 ⤵ 4 in-corpus citations
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AI-generated summary by claude@2026-06, 2026-06-09

Laparoscopic surgery is indicated for ovarian endometriotic cysts with adhesions, rectovaginal endometriosis, and deep ureteral or intestinal infiltration, with neoadjuvant GnRH analogue therapy preceding debulking in some cases.

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Abstract

Ovarian endometriotic cysts with adhesions and rectovaginal endometriosis are absolute indications for laparoscopic surgery. Peritoneal minimal endometriosis is considered a relative indications for surgery by many experts. The discussion is ongoing and more randomized studies are necessary. Ureteral and intestinal endometriosis are indicated for surgery in cases of deep infiltration of the ureteral or intestinal wall. In some cases the GnRH analogue (gonadotropin releasing hormone) can be given as neoadjuvant chemotherapy; after it interval endometriotic debulking is possible. In the case of endometriosis we must apply the same strict rules as in oncology especially as regards negative or positive histological findings.

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Condition tags

mesh:D004715endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Female Humans

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europepmc
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