Endometriosis

Pearls and Pitfalls - Endometriosis in the early stages (preinvasive) may be halted by medical therapy; in the late states, surgery is the best treatment. - Most mild endometriosis progresses; therefore, diagnosis and treatment as soon as possible is important in avoiding infertility and the worsening of pain. - If the pain is unresponsive to oral contraceptive pills and non-steroidal anti-inflammatory drugs, laparoscopy is indicated. - Current treatment of endometriosis may involve multiple modalities (medical, psychological, surgical) and multiple specialists (gynecologist, urologist, general surgeon or colorectal surgeon, gastroenterologist, pain management specialist, psychiatrist). - Laparoscopy is the procedure of choice as it allows for simultaneous diagnosis and treatment. - During endometrioma removal, one should be careful to avoid injuring the ovarian blood supply. Otherwise, the ovary will malfunction because of its communication hormonally with the hypothalamic-pituitary axis. ... Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Selected Readings Batt RE, Udagaw SM, Wheeler JM (1992) Endometriosis: micoconservative surgery. In: Hunt RB (ed) Atlas of female infertility surgery, 2nd edn. Year Book Medical Publishers, Chicago, IL Coronado C, Franklin R, Lotze EC, et al. (1990) Surgical treatment of symptomatic colorectal endometriosis. Fertil Steril 53:411–416 Mangal RK, Taskin O, Nezhat C, Franklin R (1996) Laparoscopic vaporization of diaphragmatic endometriosis in a woman with epigastric pain: a case report. J Reprod Med 41:64–66 Martin DC (ed) (1986) Intra-abdominal laser surgery, 2nd edn. Research Press, Memphis, TNd Martinez A, Bolanos R, Escobar L, Mangal R, Franklin R, et al. (2004) Endometriosis inguinal: evidencia de enfermedad agresiva: informe de un caso. Perinatol Reprod Hum 18:199–202 Nezhat C, Nezhat F, Pennigton E (1992) Laparoscopic treatment of lower colorectal and infiltrative rectovaginal septum endometriosis by the technique of video laparoscopy. Br J Obstet Gynecol 199:664–667 Sampson JA (1927) Peritoneal endometriosis due to menstrual dissemination of endometrial tissue into the peritoncal cavity. Am J Obstet Gynecol 14:22 Simpson J, Elias S, Malinas L (1980) Heritable aspects of endometriosis: genetic studies. Am J Obstet Gynecol 137:327–331 Terloar SA, et al. (2005) Genome wide linkage study in 1,176 affected sister pair familias identifies a significant susceptibility lucus for endometriosis on chromosome 10q26. Am J Human Genet 77:365–376 Tulikangas PK, Robinson BS, Falcone T (2003) Left upper quadrant cannula insertion. Fertil Steril 79:411–412 Zullo F, Palomba S, Zupi E, et al. (2004) Long-term effectiveness of presacral neurectomy for the treatment of severe dysmenorrhea due to endometriosis. J Am Assn Gynecol Laparosc 11:23–28 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2009 Springer Science+Business Media, LLC About this entry Cite this entry Mangal, R.K., Franklin, R.R. (2009). Endometriosis. In: Bland, K.I., Büchler, M.W., Csendes, A., Sarr, M.G., Garden, O.J., Wong, J. (eds) General Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-833-3_171 Download citation DOI: https://doi.org/10.1007/978-1-84628-833-3_171 Publisher Name: Springer, London Print ISBN: 978-1-84628-832-6 Online ISBN: 978-1-84628-833-3 eBook Packages: MedicineReference Module Medicine Keywords These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.