Surgical strategy in endometriosis

被引:30
作者
Wattiez, Arnaud [1 ]
Puga, Marco [1 ,2 ]
Albornoz, Jaime [1 ]
Faller, Emilie [1 ]
机构
[1] IRCAD EITS Hop Univ, Strasbourg, France
[2] Clin Alemana Santiago UDD, Dept Gynaecol, Santiago, Chile
关键词
laparoscopy; surgery; strategy; endometriosis; infertility; pain; LAPAROSCOPIC COLORECTAL RESECTION; DEEPLY INFILTRATING ENDOMETRIOSIS; URINARY-TRACT ENDOMETRIOSIS; PELVIC ENDOMETRIOSIS; SPECIMEN EXTRACTION; RECTOVAGINAL ENDOMETRIOSIS; TRANSVAGINAL SONOGRAPHY; OVARIAN ENDOMETRIOMAS; LASER LAPAROSCOPY; INFERTILE WOMEN;
D O I
10.1016/j.bpobgyn.2012.12.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Endometriosis is a common disease affecting young women. Its clinical manifestations include pain and infertility, and it can dramatically affect quality of life. Treatments should be tailored to address the wishes of women according to the specific characteristics of the disease. Although many questions remain unanswered, strong evidence supports the use of laparoscopic surgery to improve pain and infertility. The systematisation of strategy is essential to make surgery more reproducible, safer and less time-consuming. Nevertheless, even in the most expert hands, complications may occur. Further investigations are needed to compare the different approaches. Outcomes must, however, include pain, fertility, organ dysfunction, and quality of life. (c) 2012 Published by Elsevier Ltd.
引用
收藏
页码:381 / 392
页数:12
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