Surgical management of deeply infiltrating endometriosis - An update

被引：47

作者：

Chapron, C ^{[1
]}

Chopin, N ^{[1
]}

Borghese, B ^{[1
]}

Malartic, C ^{[1
]}

Decuypere, F ^{[1
]}

Foulot, H ^{[1
]}

机构：

[1] CHU Cochin, Assistance Publ Hop Paris, Serv Gynecol Obstet 2, Unite Chirurg Gynecol, Paris, France

来源：

UTERUS AND HUMAN REPRODUCTION | 2004年 / 1034卷

关键词：

deeply infiltrating endometriosis; surgery; preoperative workup; surgical classification;

D O I：

10.1196/annals.1335.035

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Deeply infiltrating endometriosis (DIE) manifests itself mainly in the form of pain, predominantly deep dyspareunia, and painful functional symptoms that are aggravated monthly during menstruation, with the semiology being directly correlated with the location of the lesions (bladder, rectum). A workup to assess the extent of the disease is necessary to establish an accurate map of the DIE lesions, which is the essential condition to perform complete exeresis. The treatment of first intention is surgical, because medical treatments are only palliative in the majority of cases. Successful treatment depends on achieving radical surgical exeresis. Analysis of the anatomical distribution of the DIE lesions allows a "surgical classification" to be proposed to standardize the modalities of surgical treatment. Further studies are needed to specify the place and modalities of medical treatments preoperatively and postoperatively.

引用

页码：326 / 337

页数：12

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