Postoperative imaging findings after laparoscopic surgery for deeply infiltrating endometriosis

AbstractDeeply infiltrative endometriosis (DIE) is a common gynecologic disease affecting women of reproductive age and often causing chronic pelvic pain and infertility. Clinical treatment options and preventive actions are ineffective due to the lack of knowledge about the etiology of DIE. Surgical treatment is currently the only alternative to eradicate the disease. Diagnostic imaging plays a crucial role for surgical planning and postoperative evaluation. Transvaginal sonography (TVS) with a dedicated protocol and magnetic resonance imaging (MRI) can be used to evaluate recurrent disease. Extensive pelvic surgery may cause anatomical changes and a variable spectrum of postoperative findings. Residual disease and complications can be also evaluated and are of great importance to estimate pain relief and fertility prognosis. The most common imaging findings following radical surgery for DIE are fibrotic scars in the retrocervical space and bowel anastomosis, absence of the posterior vaginal fornix and loculated fluid in the pararectal spaces. Ovaries are the most frequent site of early recurrence. Complications include infection, hemorrhage, urinary/evacuatory voiding dysfunctions as well as bowel and ureteral stenosis. The purpose of this article is to review the surgical techniques currently used to treat endometriosis in the retrocervical space, vagina, bladder, bowel, ureters, and ovaries and to describe the most common imaging findings including normal aspects, residua...
Source: Abdominal Imaging - Category: Radiology Source Type: research

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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
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Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: APPLIED SCIENCES Source Type: research
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Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: APPLIED SCIENCES Source Type: research
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Source: The American Journal of Surgical Pathology - Category: Pathology Tags: Original Articles Source Type: research
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Source: The American Journal of Surgical Pathology - Category: Pathology Tags: Original Articles Source Type: research
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Source: Daily Express - Health - Category: Consumer Health News Source Type: news
Endometriosis is a common disease associated with chronic pelvic pain and infertility. For ureteral endometriosis, which is rare, conventional therapy previously consisted of laparotomy. However, laparoscopic ureteroneocystostomy has been reported recently. Laparoscopic surgery for ureteral endometriosis requires greater surgical expertise and takes a longer time to master. The minimally invasive approach is well known to give patients benefits because of its small incision, less pain and shorter hospital stay.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Source Type: research
This video presents a laparoscopic deep infiltrating endometriosis which is include bowel and bladder endometriosis. Our case of 39-year-old nulliparous woman. She has suffered of dysmenorrhea, chronic pelvic pain and rectal tenesmus. She had infertility over the 3 years. Laparoscopic exploration showed a obliteration of douglas, right ovarian endometrioma, sigmoid colon nodularity which is causing partial occlusion of passage. Anatomical landmarks must be identified before such operations. Bilateraly ureter must be seen and protected due to complex anatomic structure, sacrouterin ligaments and rectovaginal fascia have to identified.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Video Poster Source Type: research
This video presents a laparoscopic deep infiltrating endometriosis which is include bowel and bladder endometriosis. Our case of 39-year-old nulliparous woman. She has suffered of dysmenorrhea, chronic pelvic pain and rectal tenesmus. She had infertility over the 3 years. Laparoscopic exploration showed a obliteration of douglas, right ovarian endometrioma, sigmoid colon nodularity which is causing partial occlusion of passage. Anatomical landmarks must be identified before suchoperations. Bilateraly ureter must be seen and protected due to complex anatomic structure, sacrouterin ligaments and rectovaginal fascia have to identified.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Video Poster Source Type: research
More News: Chronic Pain | Endometriosis | Infertility | Laparoscopy | MRI Scan | Ovaries | Pain | Radiology | Reproduction Medicine | Ureter and Renal Pelvis Cancer | Women