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Endometriosis surgery

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https://www.readbyqxmd.com/read/30098698/obstetric-complications-after-laparoscopic-excision-of-posterior-deep-infiltrating-endometriosis-a-case-control-study
#1
Konstantinos Nirgianakis, Maria Luisa Gasparri, Anda-Petronela Radan, Anna Villiger, Brett McKinnon, Beatrice Mosimann, Andrea Papadia, Michael D Mueller
OBJECTIVE: To study obstetric outcomes and complications in women with previously excised posterior deep infiltrating endometriosis (DIE) in comparison with women without endometriosis. DESIGN: Matched case-control study. SETTING: Tertiary-level academic center. PATIENT(S): All surgeries for endometriosis performed in the Department of Gynecology and Gynecological Oncology, University of Bern between March 2004 and July 2015, were assessed...
August 2018: Fertility and Sterility
https://www.readbyqxmd.com/read/30098603/comparative-study-of-endometrioid-borderline-ovarian-tumor-with-and-without-endometriosis
#2
Wen Zhang, Shuangzheng Jia, Yang Xiang, Junjun Yang, Congwei Jia, Jinhua Leng
BACKGROUND: Synchronous endometriosis has been poorly studied in women with endometrioid borderline ovarian tumors (EBOTs). The aims of this study were to compare the clinicopathological features and prognosis of EBOTs with or without endometriosis. RESULTS: Of 52 patients diagnosed with EBOTs, no death was observed and only one case had successful pregnancy during the follow-up period. Older, menopausal EBOT patients, EBOT patients with small tumors and relatively low CA125 level probably had better progression-free survival (PFS) outcomes...
August 11, 2018: Journal of Ovarian Research
https://www.readbyqxmd.com/read/30096622/annexin-a1-fpr2-alx-and-inflammatory-cytokine-expression-in-peritoneal-endometriosis
#3
Lia Karina Volpato, Verônica Vargas Horewicz, Franciane Bobinski, Daniel Fernandes Martins, Anna Paula Piovezan
To characterize Annexin A1 (ANXA1), FPR2/ALX and cytokines expression in peritoneal endometriosis and to clarify their role in its etiology, a cross-sectional study was performed with forty women in reproductive age (22 patients with endometriosis and 18 control women) that had undergone laparoscopic surgery. Peritoneal biopsy and fluid aspirations from endometriosis and control samples were analyzed for the expression of ANXA1, FPR2/ALX and cytokines. ANXA1 and FPR2 / ALX levels were measured by Western blotting and interleukin 1ß (IL-1β), interleukin 4 (IL-4), interleukin 6 (IL-6), and interleukin 10 (IL-10) levels were quantified by enzyme-linked immunosorbent assay (ELISA)...
August 3, 2018: Journal of Reproductive Immunology
https://www.readbyqxmd.com/read/30094197/case-report-on-rhabdomyolysis-after-minimally-invasive-surgery-for-squamous-cell-carcinoma-of-the-uterine-cervix-and-adhesions-due-to-deep-infiltrating-endometriosis
#4
Sahra Steinmacher, Harald Abele, Sara Y Brucker, Florin-Andrei Taran
Rhabdomyolysis is a rare clinical condition resulting from severe muscle damage that can cause potentially life-threatening complications. Amongst other causes, muscle compression due to patient positioning during prolonged surgery may result in extensive skeletal muscle breakdown. We report on a 39-year-old nulligravida who developed rhabdomyolysis after prolonged laparoscopic surgery for cervical cancer and adhesions due to deep infiltrating endometriosis. Minimally invasive surgical procedures offer major advantages in gynecologic cancer surgery, and preventive methods provide effective pressure reduction and play a crucial role in avoiding physical harm after surgical positioning...
July 2018: Case Reports in Women's Health
https://www.readbyqxmd.com/read/30092363/the-role-of-ovarian-suspension-in-preventing-post-surgical-ovarian-adhesions-in-patients-with-stage-iii-iv-pelvic-endometriosis-a-systematic-review
#5
REVIEW
Pierluigi Giampaolino, Luigi Della Corte, Gabriele Saccone, Amerigo Vitagliano, Giuseppe Bifulco, Gloria Calagna, Jose Carugno, Attilio Di Spiezio Sardo
Endometriosis is a benign complex gynecological condition with high morbidity that affects women of reproductive age. Pelvic adhesion formation represents a serious clinical challenge in the management of patients with endometriosis. Several interventions have been proposed over the last few years aiming to reduce post-operative ovarian adhesions formation. The aim of this study is to summarize the evidence of the efficacy of ovarian suspension in the prevention of post-operative ovarian adhesions formation in women undergoing laparoscopic surgery for stage III-IV endometriosis...
August 6, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/30089980/laparoscopic-ureteroneocystostomy-for-mid-and-lower-ureteric-strictures-experience-from-a-tertiary-center
#6
Manmeet Singh, Gaurav Garg, S N Sankhwar, Manoj Kumar
Purpose: The purpose of this study is to evaluate our experience of laparoscopic ureteroneocystostomy for mid and lower ureteral stricture in a tertiary center in North India. Materials and Methods: A total of 20 laparoscopic ureteroneocystostomy were performed with or without bladder flap procedures in 20 patients (13 females and 7 males) with various etiologies such as ureteric stricture, ureterovaginal fistula, endometriosis, and distal ureteric tumor at our hospital in a time frame from August 2013 to January 2017...
July 2018: Urology Annals
https://www.readbyqxmd.com/read/30087058/surgical-prevention-strategies-in-ovarian-cancer
#7
REVIEW
Adrianne Mallen, T Rinda Soong, Mary K Townsend, Robert M Wenham, Christopher P Crum, Shelley S Tworoger
Given the current lack of effective screening for ovarian cancer, surgical removal of at-risk tissue is the most successful strategy to decrease risk of cancer development. However, the optimal timing of surgery and tissues to remove, as well as the appropriate patients to undergo preventive procedures are poorly understood. In this review, we first discuss the origin and precursors of ovarian epithelial carcinomas, focusing on high-grade serous carcinomas and endometriosis-associated carcinomas, which cause the majority of the mortality and incidence of ovarian cancer...
August 4, 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/30080244/pain-and-fertility-outcomes-of-nerve-sparing-full-thickness-disc-or-segmental-bowel-resection-for-deep-infiltrating-endometriosis-die-a-prospective-cohort-study
#8
Gernot Hudelist, Kristine Aas-Eng, Tudor Birsan, Franz Berger, Ursula Sevelda, Lisa Kirchner, Mohamad Salama, Bernhard Dauser
INTODUCTION: Choosing the optimal treatment for bowel endometriosis (DIE), i.e. conservative versus radical surgery, is under debate. We aimed to evaluate the surgical outcomes of segmental resection (SR) and disc resection (DR) regarding fertility, pain symptoms and quality of life score of women with colorectal DIE. MATERIAL AND METHODS: From March 2011 to December 2016, 134 consecutive patients with symptomatic DIE of the rectosigmoid up to 25cm from the anal verge undergoing SR or DR were prospectively evaluated regarding reduction in pain symptoms, fertility outcomes and complication rates according to Clavien-Dindo classification...
August 6, 2018: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/30079504/transvaginal-ultrasonography-with-or-without-bowel-preparation-in-the-diagnosis-of-rectosigmoid-endometriosis-prospective-study
#9
Simone Ferrero, Carolina Scala, Cesare Stabilini, Valerio Gaetano Vellone, Fabio Barra, Umberto Leone Roberti Maggiore
OBJECTIVES: The primary objective of the study was to compare the diagnostic accuracy of the transvaginal ultrasonography (TVS) with and without bowel preparation (BP) in assessing the presence of rectosigmoid endometriosis. The secondary objectives were to compare the diagnostic accuracy of the two techniques in estimating infiltration of the submucosa, length of the largest rectosigmoid nodules, distance of the nodules from the anal verge and presence of multifocal disease. METHODS: Patients with pain symptoms of more than 6 months duration and/or suspicion of endometriosis underwent TVS with and without BP within an interval of 1 week to 3 months...
August 6, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/30078464/deep-dyspareunia-in-endometriosis-role-of-the-bladder-and-pelvic-floor
#10
Natasha L Orr, Heather Noga, Christina Williams, Catherine Allaire, Mohamed A Bedaiwy, Sarka Lisonkova, Kelly B Smith, Paul J Yong
INTRODUCTION: The etiology of endometriosis-associated deep dyspareunia may include direct endometriosis-specific factors (eg, stage or invasiveness of disease) and/or indirect contributors such as bladder/pelvic floor dysfunction (eg, related to myofascial mechanisms or nervous system sensitization). AIM: This study aimed to determine whether bladder/pelvic floor tenderness and painful bladder syndrome were associated with severity of deep dyspareunia in women with endometriosis, regardless of Stage (I/II vs III/IV) or other endometriosis-specific factors...
August 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/30076546/long-term-treatment-of-endometriosis-with-dienogest-retrospective-analysis-of-efficacy-and-safety-in-clinical-practice
#11
Thomas Römer
PURPOSE: Endometriosis is a debilitating disease with high recurrence rates requiring long-term management. Progestins such as dienogest are used empirically when first symptoms occur and post-surgery to reduce recurrence. This retrospective, practice-based study assessed the efficacy and safety of dienogest in women with endometriosis treated for at least 60 months. METHODS: 37 women (age 39 ± 8 years) with laparoscopically diagnosed endometriosis received dienogest 2 mg orally once daily...
August 3, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/30075600/correlation-of-ultrasound-features-and-the-risk-of-ovarian-malignancy-algorithm-score-for-different-histopathological-subtypes-of-benign-adnexal-masses
#12
Crîngu Antoniu Ionescu, Alexandra Matei, Dan Navolan, Mihai Dimitriu, Roxana Bohâltea, Adrian Neacsu, Corina Ilinca, Liana Ples
Ovarian masses are one of the most frequently identified entities in gynecological practice. Early differential diagnosis is a key factor in the medical management of each patient. Transvaginal ultrasound along with additional preoperative testing, such as serum cancer antigen 125 (CA-125) levels and the Risk of Ovarian Malignancy Algorithm (ROMA) score, usually provide sufficient information for a presumptive diagnosis. Minimally invasive surgery as a therapeutic approach is the standard procedure for uncomplicated and benign adnexal masses...
August 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30074015/intestinal-obstruction-secondary-to-cecal-endometriosis
#13
D E Imasogie, P I Agbonrofo, M I Momoh, D E Obaseki, I Obahiagbon, A T Azeke
Endometriosis of the gastrointestinal tract is rare and occurs in <1% of all patients undergoing major gynecological surgeries. Bowel involvement has been reported in 3%-37% of all women of childbearing age with endometriosis. Total obstruction of the gastrointestinal tract occurs in <1% of cases of endometriosis with bowel obstruction. This case report is that of a 42-year-old female who presented with a 6-month history of change in bowel habits in favor of increasing constipation. This was associated with cyclical lower abdominal pains, abdominal swelling, and weight loss...
August 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/30073183/clear-cell-carcinoma-of-the-pelvic-side-wall-arising-from-endometriosis
#14
Lisa N Abaid, John S Cupp, Miles Chang, Steven R Beanes, Bram H Goldstein
Endometriosis is a condition wherein an ectopic layer of endometrial tissue arises in an extra-uterine location, often effecting significant pelvic pain and infertility. While very uncommon, there have been reported cases of endometriosis undergoing malignant transformation, frequently involving the ovaries and seldom in extra-gonadal regions. We recount a case depicting a 63 year-old woman who presented with an apparent inguinal hernia in 2017; she was ultimately diagnosed with a pelvic side wall clear cell carcinoma and attendant metastatic disease to the medial groin, which emanated from endometriosis...
August 2018: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/30065547/dienogest-versus-leuprolide-acetate-for-recurrent-pelvic-pain-following-laparoscopic-treatment-of-endometriosis
#15
Ahmed Mahmoud Abdou, Islam Mohamed Magdi Ammar, Amr Abd Almohsen Alnemr, Amr Ahmed Abdelrhman
Objective: To compare the efficacy and safety of dienogest (DNG) with depot leuprolide acetate (LA) in patients with recurrent pelvic pain following laparoscopic surgery for endometriosis. Design: Prospective randomized trial. Setting: Zagazig University hospitals, Egypt. Patients: Two hundred and forty-two patients with recurrent pelvic pain following laparoscopic surgery for endometriosis. Intervention: Dienogest (2 mg/day, orally) or depot LA (3...
August 2018: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/30062386/functional-outcomes-of-nerve-sparing-laparoscopic-eradication-of-deep-infiltrating-endometriosis-a-prospective-analysis-using-validated-questionnaires
#16
Stefano Uccella, Baldo Gisone, Maurizio Serati, Sara Biasoli, Nicola Marconi, Gloria Angeretti, Valerio Gallotta, Silvia Cardinale, Stefano Rausei, Gianlorenzo Dionigi, Giovanni Scambia, Fabio Ghezzi
PURPOSE: Radical eradication of deep infiltrating endometriosis (DIE) is associated with a high risk of iatrogenic autonomic denervation and pelvic dysfunction. Our aim was to prospectively analyze peri-operative details and post-operative functional outcomes (in terms of pain relief and bladder, rectal, and sexual function) among women operated for DIE of the posterior compartment with nerve-sparing technique, using the visual analogue scale and validated questionnaires. METHODS: All women undergoing laparoscopic nerve-sparing eradicative surgery for DIE nodules of the posterior compartment ≥ 4 cm ± bowel resection were included...
July 30, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/30058643/scar-endometriosis-cytological-diagnosis
#17
Urvashee Dwivedi, Saumya Shukla, Nidhi Anand, Chetan Parashar, Nuzhat Husain
Endometriosis occurring in a surgical scar is called incisional endometriosis. An interesting case with immunocytological confirmation is being reported. A 28-year-old female presented with a mass over anterior abdominal wall. Fine needle aspiration revealed monolayered sheets of epithelial cells and stromal fragments. A cell block was also prepared. Immunohistochemistry panel comprising of CK 7 and CD 10 was performed, which were positive in glandular and stromal component respectively. Cytodiagnosis of scar endometriosis was rendered...
January 2018: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/30057425/endometriosis-and-beta-hcg-775-iu-l-increase-the-risk-of-non-tube-preserving-surgery-for-tubal-pregnancy
#18
Kristin Nicolaus, Jorge Jimenez-Cruz, Dominik Michael Bräuer, Thomas Lehmann, Anke Regina Mothes, Ingo B Runnebaum
Introduction: Tubal pregnancy is the most clinically relevant form of ectopic pregnancy. Surgery consisting of laparoscopic salpingotomy is the therapeutic gold standard. This study looked at risk factors for non-tube-preserving surgery. The aim was to determine a cut-off value for beta-hCG levels, which could be used to predict the extent of tubal surgery. Materials and Method: 97 patients with tubal pregnancy who underwent primary salpingotomy in the Department of Gynecology and Obstetrics of Jena University Hospital between 2010 and 2016 were retrospectively analyzed...
July 2018: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/30052994/high-postoperative-fertility-rate-following-surgical-management-of-colorectal-endometriosis
#19
Horace Roman, Isabella Chanavaz-Lacheray, Marcos Ballester, Sofiane Bendifallah, Salma Touleimat, Jean-Jacques Tuech, Marilena Farella, Benjamin Merlot
STUDY QUESTION: What are fertility outcomes in patients surgically managed for large deep endometriosis infiltrating the rectum who intend to get pregnant postoperatively? SUMMARY ANSWER: Surgical management for rectal endometriosis is followed by high pregnancy rates, with a majority of natural conceptions. WHAT IS KNOWN ALREADY: Optimal management such as surgery versus first-line ART for patients with severe deep endometriosis who desire pregnancy is not defined...
July 25, 2018: Human Reproduction
https://www.readbyqxmd.com/read/30034288/use-of-radioguided-surgery-in-abdominal-wall-endometriosis-an-innovative-approach
#20
Geraldo Sérgio Farinazzo Vitral, Hakayna Calegaro Salgado, João Matheus de Castro Rangel
Endometriosis is characterized by the presence of endometrial glands and stroma outside the uterine cavity. The occurrence of endometriosis in the anterior abdominal wall is often associated with previous cesarean section, once the spread of endometrial cells during the surgical procedure is a biologically fact possible. A 43-year-old patient, with cesarean section history and pelvic endometriosis diagnosed for over 10 years, presented with progressive abdominal pain. Tests showed cystic image with 1.6 cm of diameter and debris, located in mid-lower portion of the rectus abdominis left, suggesting abdominal wall endometriosis...
July 2018: World Journal of Nuclear Medicine
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