Evaluation of combined endoscopic and pharmaceutical management of endometriosis during adolescence.

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This study evaluated the efficacy of combined endoscopic surgery and pharmaceutical treatments (Danazol, GnRH analogues, oral contraceptives) for adolescent endometriosis.

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Abstract

Laparoscopy is the most frequent surgical approach in gynecologic patients with acute or chronic pelvic pain. The symptomatology is frequently related to a specific gynecological pathology such as endometriosis or associated adhesive disease. During an eight year period, January 1990 to December 1997, 26 patients (aged 16-20 years) with endometriosis were diagnosed endoscopically and managed pharmaceutically in our clinic. The disease was evaluated and staged according to the American Society of Reproductive Medicine. The disease was evaluated as first stage in 16 patients (61.6%), as second stage in eight patients (30.8%), as third stage in one patient (3.8%) and as fourth stage in one patient (3.8%). Patients underwent adhesiolysis and management according to their laparoscopic findings. Postoperative pharmaceutical treatment (Danazol, GnRH analogues, Oral Contraceptives) was given. Patients were followed for the evaluation of the treatment. The efficacy of the combination of endoscopic and pharmaceutical management of the disease is discussed.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Disease Management Endometriosis Endometriosis Adolescent Adult Antineoplastic Agents, Hormonal Antineoplastic Agents, Hormonal Ascitic Fluid Ascitic Fluid Contraceptives, Oral Contraceptives, Oral Danazol Danazol Electrocoagulation Endometriosis Endometriosis Estrogen Antagonists Estrogen Antagonists Evaluation Studies as Topic Female

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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