Surgical management of deep infiltrating endometriosis with bowel involvement and urinary tract involvement.
[Surgical management of deep infiltrating endometriosis with bowel involvement and urinary tract involvement]. Presse Med. 2017 Nov 09;: Authors: Bendifallah S, Ballester M, Darai E Abstract Endometriosis is a benign pathology that affects 3% of the general population and about 10% of women of reproductive age. Three anatomoclinical entities are described: peritoneal, ovarian (endometrioma) and deep endometriosis characterized by the infiltration of anatomical structures or organs beyond the peritoneum. Laparoscopic surgery should be performed, as this is associated with a reduction in postoperative complications, length of hospitalization and convalescence. Several surgical techniques allow the removal of deep endometriosis with colorectal involvement: rectal shaving, anterior discoid resection, segmental resection. Deep endometriosis surgery with colorectal involvement is a source of postoperative complications: anastomotic fistula, rectovaginal fistula, intestinal occlusion, digestive haemorrhage, urinary fistula, deep pelvic abscess. Involvement of the urinary tract by endometriosis affects approximately 1% of patients with endometriosis. PMID: 29129414 [PubMed - as supplied by publisher]
Regarding, Comparison of Laparoscopic Hysterectomy in Patients with Endometriosis with and without an Obliterated Cul-de-sac.
A 41-year-old nulliparous woman underwent assisted reproductive technology (ART) for infertility (stimulation cycles for oocyte retrieval, and embryo transfers). After two biochemical miscarriages, ultrasound and laparoscopy were performed. She reported dysmenorrhea and left sided pelvic pain. Apart from hypothyroidism, her medical history was unremarkable: of note, there was no history of laparoscopic myomectomy. Initial laparoscopy revealed “bubbles of angry-looking tissue”: biopsy reported endometriosis; cytology on peritoneal washings was negative for malignancy.
Publication date: December 2019Source: Reproductive BioMedicine Online, Volume 39, Issue 6Author(s): Ying Chen, Hui Li, Hong-yan Cheng, Ma Rui-qiong, Xue Ye, Heng Cui, Zhu Hong-lan, Xiao-hong ChangAbstractResearch questionIn the group's previous study, fibrinogen alpha chain (FGA) was identified as an up-regulated differential protein that was highly expressed in women with endometriosis. The current study investigated the expression and effects of FGA in endometriosis. It also evaluated the effects of FGA on human endometrial stromal cells and studied the possible mechanism.DesignThis was a cross-sectional analysis of FGA...
ConclusionUreteral endometriosis can lead to severe consequences, the surgical treatment can be difficult and most of the times incomplete. This video is a detailed example of our team strategy to perform a termino-terminal ureteral laparoscopic anastomosis in a structured way.
Publication date: Available online 26 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Dr Danny Chou, Dr Shevy Perera, Assoc Prof George Condous, Assoc Prof Greg Cario, Dr David Rosen, Dr Sarah Choi, Dr Mansour Al-Shamari, Dr Mujahid BukhariObjectiveTo demonstrate laparoscopic shaving of deeply infiltrative endometriosis affecting rectosigmoid colon with particular emphasis on the anatomical and technical aspects of the procedure.DesignStepwise demonstration of the technique with narrated video footage.SettingIntestinal involvement by deep endometriosis is estimated to occur in 8-12%, with 90% being ...
Publication date: Available online 22 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Sarah MAHEUX-LACROIX, Mathieu BELANGER, Lorence PINARD, Madeleine LEMYRE, Philippe LABERGE, Amélie BOUTINAbstractObjectiveTo evaluate the diagnostic accuracy of intra-operative laparoscopic imaging tools in reference to histopathology for detecting endometriotic lesions and to compare them to conventional white light inspection by performing a systematic review with meta-analysis.Data sourcesWe searched the databases MEDLINE, EMBASE, and CENTRAL as well as citations and reference lists to the end of February...
ConclusionsImprovement of general QoL and most of gastrointestinal symptoms was documented after SR.
To evaluate the diagnostic accuracy of intra-operative laparoscopic imaging tools in reference to histopathology for detecting endometriotic lesions and to compare them to conventional white light inspection by performing a systematic review with meta-analysis.
HK is a 37-year-old who had laparoscopic excision of stage three endometriosis 3 years prior with disease in the cul-de-sac and side walls. Her symptoms improved post-operatively without adjuvant medical treatment and she was considering oocyte vitrification.
Conditions: Gynecologic Disease; Endometriosis; Endometriosis, Rectum; Endometriosis of Colon; Endometriosis of Vagina; Endometriosis Rectovaginal Septum; Endometriosis of Bladder; Surgery Intervention: Procedure: Ultrasound evaluation of DE Sponsors: Universitaire Ziekenhuizen Leuven; University of Sydney; University of Cagliari Recruiting