Operative management of deep endometriosis infiltrating the uterosacral ligaments

被引:59
作者
Chapron, C [1 ]
Dubuisson, JB [1 ]
Fritel, X [1 ]
Fernandez, B [1 ]
Poncelet, C [1 ]
Béguin, S [1 ]
Pinelli, L [1 ]
机构
[1] CHU Cochin Port Royal, Clin Univ Baudelocque, Serv Chirurg Gynecol, F-75014 Paris, France
来源
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS | 1999年 / 6卷 / 01期
关键词
D O I
10.1016/S1074-3804(99)80037-1
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Study Objective. To describe and assess the efficacy of laparoscopic surgical treatment for patients with pain and deep endometriosis located on the uterosacral ligaments. Design. Retrospective analysis (Canadian Task Force classification II-2). Setting. University-affiliated hospital. Patients. One hundred ten consecutive women with deep endometriosis infiltrating uterosacral ligaments. Intervention. Operative laparoscopic management of endometriosis. Measurements and Main Results. Improvement was reported in 82.3% (70/85) of patients with severe dysmenorrhea and was considered satisfactory in 82.8% (58/70). Improvement also occurred in 88.2% (75/85) of women with deep dyspareunia, and was considered satisfactory in 88.0% (66/75). Conclusion. Provided the surgeon is highly skilled in laparoscopy, operative laparoscopy is efficient for the treatment of painful symptoms related to deep endometriosis infiltrating uterosacral ligaments.
引用
收藏
页码:31 / 37
页数:7
相关论文
共 28 条
[1]  
*AM FERT SOC, 1985, FERTIL STERIL, V43, P351
[2]   PRESACRAL NEURECTOMY FOR THE TREATMENT OF PELVIC PAIN ASSOCIATED WITH ENDOMETRIOSIS - A CONTROLLED-STUDY [J].
CANDIANI, GB ;
FEDELE, L ;
VERCELLINI, P ;
BIANCHI, S ;
DINOLA, G .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1992, 167 (01) :100-103
[3]   Results and role of rectal endoscopic ultrasonography for patients with deep pelvic endometriosis [J].
Chapron, C ;
Dumontier, I ;
Dousset, B ;
Fritel, X ;
Tardif, D ;
Roseau, G ;
Chaussade, S ;
Couturier, D ;
Dubuisson, JB .
HUMAN REPRODUCTION, 1998, 13 (08) :2266-2270
[4]   TOTAL LAPAROSCOPIC HYSTERECTOMY - PRELIMINARY-RESULTS [J].
CHAPRON, C ;
DUBUISSON, JB ;
AUBERT, V ;
MORICE, P ;
GARNIER, P ;
AUBRIOT, FX ;
FOULOT, H .
HUMAN REPRODUCTION, 1994, 9 (11) :2084-2089
[5]   Retroperitoneal endometriosis and pelvic pain: Results of laparoscopic uterosacral ligament resection according to the rAFS classification and histopathologic results [J].
Chapron, C ;
Dubuisson, JB ;
Tardif, D ;
Fritel, X ;
Lacroix, S ;
Kinkel, K ;
Dumontier, I ;
Dousset, B ;
Vacher-Lavenu, MC .
JOURNAL OF GYNECOLOGIC SURGERY, 1998, 14 (02) :51-58
[6]   Surgical complications of diagnostic and operative gynaecological laparoscopy: a series of 29,966 cases [J].
Chapron, C ;
Querleu, D ;
Bruhat, MA ;
Madelenat, P ;
Fernandez, H ;
Pierre, F ;
Dubuisson, JB .
HUMAN REPRODUCTION, 1998, 13 (04) :867-872
[7]  
CHAPRON C, 1994, COMPLICATIONS ENDOSC, P239
[8]  
CHAPRON C, IN PRESS HUM REPROD
[9]  
CORNILLIE FJ, 1990, FERTIL STERIL, V53, P978
[10]   THE ROLE OF UTEROSACRAL LIGAMENT RESECTION IN CONSERVATIVE OPERATIONS FOR RECURRENT ENDOMETRIOSIS [J].
DAMARIO, MA ;
HOROWITZ, IR ;
ROCK, JA .
JOURNAL OF GYNECOLOGIC SURGERY, 1994, 10 (02) :57-61