Endometriosis

In: The ASCRS Textbook of Colon and Rectal Surgery · 2016 · pp. 717–733 · doi:10.1007/978-3-319-25970-3_42 · W4246119474
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Endometriosis, a common cause of surgery in young women, presents with pelvic pain and infertility and is often treated surgically by gynecologists and colon and rectal surgeons for advanced disease invading the rectal wall.

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This paper overviewed endometriosis as a common cause of major surgery in young women, discussing suspected etiology linked to retrograde menstruation, predominant symptoms (pelvic pain and infertility), and the reliance on laparoscopy for diagnosis and treatment planning. It particularly describes surgical involvement of colon and rectal surgeons in cases of severe advanced disease with a frozen pelvis and invasion of the anterior rectal wall, emphasizing that the best procedure depends on implant size and depth while minimizing morbidity. A key limitation is that this text is narrative/overview-based rather than presenting original data or a clearly defined systematic method. Relevance to endometriosis: the entire paper is a dedicated overview of endometriosis, including its symptom profile and surgical management for deep rectal involvement, and therefore directly pertains to endometriosis.

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Abstract

Endometriosis is one of the most common causes for young women undergoing major surgery. The exact etiology is unknown but appears to be related to retrograde menstruation. The predominant symptoms are pelvic pain and infertility. Diagnosis and treatment are usually based on findings at laparoscopy. Colon and rectal surgeons become involved usually assisting gynecologists with patients who have severe advanced disease that creates both a frozen pelvis and invades the anterior rectal wall. The best procedure to remove this nodule depends on the size and depth of the implant. Minimizing morbidity is critical in these young, otherwise, healthy patients.
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Abstract

Endometriosis is one of the most common causes for young women undergoing major surgery. The exact etiology is unknown but appears to be related to retrograde menstruation. The predominant symptoms are pelvic pain and infertility. Diagnosis and treatment are usually based on findings at laparoscopy. Colon and rectal surgeons become involved usually assisting gynecologists with patients who have severe advanced disease that creates both a frozen pelvis and invades the anterior rectal wall. The best procedure to remove this nodule depends on the size and depth of the implant. Minimizing morbidity is critical in these young, otherwise, healthy patients. Similar content being viewed by others

References

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Analysis of sequential treatment protocols for endometriosis-associated infertility. Am J Obstet Gynecol. 1986;154:613. Wheeler JM, Malinak LR. Recurrent endometriosis. Contr Gynecol Obstet. 1987;16:13–21. Bailey HR, Ott MT, Hartendorp P. Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum. 1994;37:747–53. Buttram VC, Reiter RC, Ward SM. Treatment of endometriosis with Danazol: Report of a six year prospective study. Fertil Steril. 1985;43:353. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2016 ASCRS (American Society of Colon and Rectal Surgeons) About this chapter Cite this chapter Snyder, M.J. (2016). Endometriosis. In: Steele, S.R., Hull, T.L., Read, T.E., Saclarides, T.J., Senagore, A.J., Whitlow, C.B. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25970-3_42 Download citation DOI: https://doi.org/10.1007/978-3-319-25970-3_42 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-25968-0 Online ISBN: 978-3-319-25970-3 eBook Packages: MedicineMedicine (R0)

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