[Retroperitoneal endometriosis infiltrating the utero-sacral ligaments. Technique and results of laparoscopic surgery].
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Operative laparoscopy for deep endometriosis on uterosacral ligaments improved pain symptoms in over 88% of patients with a minimum one-year follow-up.
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Abstract
OBJECTIVE: The goal of this study is to assess the efficiency of laparoscopic surgical treatment of pain for patients presenting deep endometriosis located on the uterosacral ligaments. STUDY DESIGN: We analysed a continuous series of 36 patients treated by operative laparoscopy between January 1993 and April 1995. In all these cases treatment consisted of resection of all the uterosacral ligament(s) together with exeresis of all other endometriotic lesions. RESULTS: The results were assessed for all the patients with a minimum follow-up of one year. Patients who presented dysmenorrhea (29 cases) improved in 89.7% of cases (26 patients). Out of the 26 patients who presented deep dyspareunia, improvement was evident for 92.3% of cases (24 patients). The chronic pelvic pain suffered (17 cases) improved in 88.2% of cases (15 patients). Patients who benefited from an improvement rated it excellent or satisfactory in 80% of cases. CONCLUSION: These results demonstrate that provided the surgeon is highly skilled in laparoscopy, operative laparoscopy is efficient for the treatment of patients presenting painful symptoms related to deep endometriotic implants located on the uterosacral ligaments.
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Cited by (14)
- Troubles fonctionnels urinaires liés à l’endométriose profonde et à son traitement : revue de la littérature 2014
- Nerve-sparing laparoscopic eradication of deep endometriosis with segmental rectal and parametrial resection: the Negrar method. A single-center, prospective, clinical trial 2012
- Follow-up of dysfunctional bladder and rectum after surgery of a deep infiltrating rectovaginal endometriosis 2011
- Imagerie de l'endométriose 2006
- Endométriose pelvienne tumorale sous-péritonéale 2006
- Deep endometriosis, including intestinal involvement – the interdisciplinary approach 2005
- Imagerie de l'endométriose 2004
- Prise en charge chirurgicale des endométrioses de la cloison rectovaginale. À propos d’une série continue de 50 cas 2004
- Prise en charge chirurgicale des nodules endométriosiques de la cloison recto-vaginale. A propos d'une série continue de 40 cas 2002
- Die operative Therapie der tiefen Endometriose im Septum rectovaginale 2002
- Comparaison de deux stratégies thérapeutiques dans les endométrioses sévères, chez des femmes jeunes consultant pour stérilité ou douleurs. Résultats en cas de douleurs pelviennes chroniques 2001
- 10.1016/s1241-8218(04)16664-x 2000
- Dolor pélvico crónico: enfoque multidisciplinario 2000
- (no title) 1999
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