Robotic-Assisted Management of Endometriosis

In: Atlas of Single-Port, Laparoscopic, and Robotic Surgery · 2014 · pp. 251–261 · doi:10.1007/978-1-4614-6840-0_18 · W2141323564
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This paper discusses endometriosis, its symptoms, prevalence, and diagnostic challenges.

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This 2014 Springer chapter describes endometriosis as extra-uterine growth of endometrial glands and stroma and summarizes its common symptoms, prevalence estimates in the general reproductive-age population (~10%) and among patients with infertility (up to ~50%), and the caveat that true incidence may be underestimated due to underdiagnosis and misdiagnosis. It provides an overview of endometriosis as part of a broader discussion of video-assisted and robotic-assisted gynecologic endoscopy, citing prior work comparing robotic vs standard laparoscopy and reporting experience with robotic-assisted management of complex endometriosis involving bowel, bladder, and ureter. The chapter also notes that much of the content reflects literature rather than new original study results, with limited explicit methodological detail within the excerpt. This paper is centrally about endometriosis — it focuses on robotic-assisted management and surgical approaches in endometriosis.

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Abstract

Endometriosis is a complex disease in which endometrial glands and stroma grow outside of the endometrial cavity. The classic symptoms of endometriosis consist of dysmenorrhea, dyspareunia, pelvic pain and infertility. In the general reproductive-age population, the prevalence of endometriosis approaches 10 %, but in patients with infertility it can be as high as 50 %. These numbers likely underestimate the true incidence of endometriosis since endometriosis is often undiagnosed or misdiagnosed. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Ferrero S, Camerini G, Maggiore ULR, Venturini PL, Biscaldi E, Remorgida V. Bowel endometriosis: recent insights and unsolved problems. World J Gastrointest Surg. 2011;3(3):31–8. Nezhat C, Hojhosseini B, King LP. Laparoscopic management of bowel endometriosis: predictors of severe disease and recurrence. JSLS. 2011;15:431–8. Berker B, Lashay N, Davarpanah R, Marziali M, Nezhat CH, Nezhat C. Laparoscopic appendectomy in patients with endometriosis. J Minim Invasive Gynecol. 2005;12:206. Joseph J, Sahn SA. Thoracic endometriosis syndrome: new observations from an analysis of 110 cases. Am J Med. 1996;100:164–70. Nezhat C, Nicoll LM, Bhagan L, et al. Endometriosis of the diaphragm: four cases treated with a combination of laparoscopy and thoracoscopy. J Minim Invasive Gynecol. 2009;16:573–80. Acknowledgment This chapter has been supported in part by an educational grant from the Zimmerman Foundation. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2014 Springer Science+Business Media New York About this chapter Cite this chapter Nezhat, C., Main, J., Buescher, E., Stevens, A., Soliemannjad, R. (2014). Robotic-Assisted Management of Endometriosis. In: Escobar, P., Falcone, T. (eds) Atlas of Single-Port, Laparoscopic, and Robotic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6840-0_18 Download citation DOI: https://doi.org/10.1007/978-1-4614-6840-0_18 Published: Publisher Name: Springer, New York, NY Print ISBN: 978-1-4614-6839-4 Online ISBN: 978-1-4614-6840-0 eBook Packages: MedicineMedicine (R0)

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