Surgical management of deep pelvic endometriosis in France: Do we need to be a pelvic surgeon to deal with DPE?

Pellerin M, Madeleine Pellerin, Émilie Faller, Faller E, Emilie Faller, Chris Minella, Minella C, Garbin O, Olivier Garbin, O. Garbin, Host A, Aline Host, Lise Lecointre, Lecointre L, Chérif Akladios
Journal of gynecology obstetrics and human reproduction · 2021 · vol. 50(9) , pp. 102158 · doi:10.1016/j.jogoh.2021.102158 · PMID:33945889 · W3159879507
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This study evaluates whether specialized pelvic surgeons are necessary for the surgical management of deep pelvic endometriosis in France.

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Abstract

IntroductionEndometriosis is a common disease in women, which requires a medical and surgical approach. Surgical societies recommend a multidisciplinary management in tertiary referral centers. The objective of our study is to assess the surgical management of endometriosis in France by studying the surgeons' attitude for bowel and urinary endometriosis.MethodsWe sent a survey to french endometriosis surgeons. We did a descriptive analysis and a comparative analysis between surgeons who believe endometriosis surgeons should be considered as "pelvic surgeons", able to treat bowel and urinary involvement.ResultsWe included 90 answers, from gynaecologic surgeons from all over France. Gynaecologic surgeons perform minor bowel and urinary tract surgery, and more complex procedures are performed with digestive or urological surgeon (bowel resection 85% of cases, ureteric resection-anastomosis 84% of cases, ureteric reimplantation 91% of cases). Surgeons considering that gynaecologists should be able to deal with urinary and bowel endometriosis carry out more bowel and urinary procedures. They have an additional training in surgery and perform more endometriosis surgery every year. However, bowel and urinary endometriosis management by gynaecologic surgeons is contested amongst gynaecologists.ConclusionTo this day, there is no dedicated training in France to coach gynaecologist to perform such procedures. Multidisciplinary approach is essential for quality care, in expert centers. The basic education of gynaecologic surgeons does not allow them to perform complex pelvic surgeries, but qualifications can be gained for these interventions with a special training, and perform a greater number of surgeries.

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Condition tags

endometriosis

MeSH descriptors

Attitude of Health Personnel Digestive System Surgical Procedures Endometriosis Gynecologic Surgical Procedures Urologic Surgical Procedures Digestive System Surgical Procedures Endometriosis Female France Gynecologic Surgical Procedures Humans Laparoscopy Laparoscopy Surveys and Questionnaires Urologic Surgical Procedures

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.

References (18)

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