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Endometriosis laparoscopy

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https://www.readbyqxmd.com/read/29901577/serum-mir-17-il-4-and-il-6-levels-for-diagnosis-of-endometriosis
#1
Fang Wang, Hongxia Wang, Danting Jin, Yang Zhang
Clinical studies have exhibited microRNAs or cytokines could be used as new biomarkers in the diagnosis of endometriosis, respectively. The purpose of this study was to investigate the role of serum miR-17, IL-4, and IL-6 as early diagnostic markers of endometriosis. One hundred forty patients aged 22 to 45 years were recruited, 80 patients with pathologically confirmed endometriosis were assigned to endometriosis group whereas the remaining 60 patients were in the control group. The blood samples were collected immediately before laparoscopy and analyzed using real-time quantitative PCR analysis...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29890354/ultrasound-based-endometriosis-staging-system-ubess-validation-study-to-predict-complexity-of-laparoscopic-surgery
#2
Jessica Tompsett, Mathew Leonardi, Bassem Gerges, Chuan Lu, Shannon Reid, Mercedes Espada, George Condous
STUDY OBJECTIVE: To validate the preoperative ultrasound-based endometriosis staging system (UBESS) for predicting the correct Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the Australasian Gynaecological Endoscopy and Surgery (AGES) Society's level of laparoscopic skill level required for endometriosis surgery. DESIGN: Multi-center retrospective cohort study (Canadian Task Force II-2). SETTING: A tertiary teaching hospital and a private gynecological clinic...
June 8, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29879698/higher-prevalence-of-endometrial-polyps-in-infertile-patients-with-endometriosis
#3
Ya-Nan Zhang, You-Sheng Zhang, Qian Yu, Zi-Zhen Guo, Jin-Long Ma, Lei Yan
AIM: To study whether infertile patients with endometriosis have a higher prevalence of endometrial polyps, and to clarify the characteristics of the pathology of combined polyps. METHODS: Infertile patients who had undergone both hysteroscopy and laparoscopy in Reproductive Hospital Affiliated with Shandong University from January 2014 to May 2017 were enrolled. Patients with and without endometriosis, diagnosed by laparoscopy, were staged and included in the study group and control group, respectively, and the prevalence of polyps was compared...
June 7, 2018: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/29865779/thoracic-and-diaphragmatic-endometriosis-single-institution-experience-using-a-novel-broadened-diagnostic-criteria
#4
Demetrio Larraín, Francisco Suárez, Hernán Braun, Javier Chapochnick, Lidia Diaz, Iván Rojas
Objective: To describe our experience with the multidisciplinary management of both thoracic/diaphragmatic endometriosis (TED), applying a broadened definition of the “thoracic endometriosis syndrome (TES)” to define cases. Material and Methods: We present a retrospective series of consecutive patients affected by pathology-proven TED, treated at our institution, during a period of 7 years. Results: Five women were included. Two cases were referred due to catamenial chest/shoulder pain, one due to recurrent catamenial pneumothorax, one due to new-onset diaphragmatic hernia...
June 5, 2018: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/29775973/safety-model-for-the-introduction-of-robotic-surgery-in-gynecology
#5
Mariano Tamura Vieira Gomes, Beatriz Taliberti da Costa Porto, Jose Pedro Parise Filho, Ana Luiz Vasconcelos, Bruna Fernanda Bottura, Renato Moretti Marques
OBJECTIVE:  To analyze the perioperative results and safety of performing gynecological surgeries using robot-assisted laparoscopy during implementation of the technique in a community hospital over a 6-year period. METHODS:  This was a retrospective observational study in which the medical records of 274 patients who underwent robotic surgery from September 2008 to December 2014 were analyzed. We evaluated age, body mass index (BMI), diagnosis, procedures performed, American Society of Anesthesiologists (ASA) classification, the presence of a proctor (experienced surgeon with at least 20 robotic cases), operative time, transfusion rate, perioperative complications, conversion rate, length of stay, referral to the intensive care unit (ICU), and mortality...
May 18, 2018: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/29775729/can-narrowband-imaging-improve-the-laparoscopic-identification-of-superficial-endometriosis-a-prospective-cohort-trial
#6
Tony Ma, Lenore Ellett, Kate McIlwaine, Janine Manwaring, Alex Eskander, Prathima Chowdary, Emma Readman, Peter Maher
STUDY OBJECTIVE: To assess the utility of narrow band imaging (NBI) to detect additional areas of endometriosis not identified by standard white light in patients undergoing laparoscopy for investigation of pelvic pain. DESIGN: Prospective cohort trial DESIGN CLASSIFICATION: Level II: Evidence obtained from well-designed cohort study. SETTING: Tertiary laparoscopic sub-specialty unit in Melbourne, Australia. PATIENTS: Fifty-seven patients undergoing laparoscopy for investigation of pelvic pain were recruited...
May 15, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29772407/total-laparoscopic-hysterectomy-for-endometriosis-and-an-arteriovenous-malformation
#7
Emilie Schwartz, Emilie Faller, Chérif Youssef Akladios, Michel Greget, Catherine Roy, Arnaud Wattiez
STUDY OBJECTIVE: Demonstrate a laparoscopic management of an arteriovenous malformation in a patient with deep pelvic endometriosis DESIGN: A step-by-step explanation of the surgery using video (instructive video). SETTING: Hautepierre Universitary Hospital of Strasbourg in France INTERVENTION: We describe the case of a 37 years old patient presenting deep pelvic endometriosis and an uterine arteriovenous malformation. It was during a tubal ligation in 2015, that the deep pelvic endometriosis was diagnosed...
May 14, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29747214/intestinal-perforation-due-to-deep-infiltrating-endometriosis-during-pregnancy-case-report
#8
Márcia Mendonça Carneiro, Luciana Maria Pyramo Costa, Maria Das Graças Torres, Patrícia Salomé Gouvea, Ivete de Ávila
We report the case of a 33 year-old woman who complained of severe dysmenorrhea since menarche. From 2003 to 2009, she underwent 4 laparoscopies for the treatment of pain associated with endometriosis. After all four interventions, the pain recurred despite the use of gonadotropin-releasing hormone (GnRH) analogues and the insertion of a levonorgestrel intrauterine system (LNG-IUS). Finally, a colonoscopy performed in 2010 revealed rectosigmoid stenosis probably due to extrinsic compression. The patient was advised to get pregnant before treating the intestinal lesion...
April 2018: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/29743106/the-foam-study-is-hysterosalpingo-foam-sonography-hyfosy-a-cost-effective-alternative-for-hysterosalpingography-hsg-in-assessing-tubal-patency-in-subfertile-women-study-protocol-for-a-randomized-controlled-trial
#9
Joukje van Rijswijk, Nienke van Welie, Kim Dreyer, Machiel H A van Hooff, Jan Peter de Bruin, Harold R Verhoeve, Femke Mol, Kimiko A Kleiman-Broeze, Maaike A F Traas, Guido J J M Muijsers, Arentje P Manger, Judith Gianotten, Cornelia H de Koning, Aafke M H Koning, Neriman Bayram, David P van der Ham, Francisca P J M Vrouenraets, Michaela Kalafusova, Bob I G van de Laar, Jeroen Kaijser, Miriam F van Oostwaard, Wouter J Meijer, Frank J M Broekmans, Olivier Valkenburg, Lucy F van der Voet, Jeroen van Disseldorp, Marieke J Lambers, Henrike E Peters, Marit C I Lier, Cornelis B Lambalk, Madelon van Wely, Patrick M M Bossuyt, Jaap Stoker, Fulco van der Veen, Ben W J Mol, Velja Mijatovic
BACKGROUND: Tubal pathology is a causative factor in 20% of subfertile couples. Traditionally, tubal testing during fertility work-up is performed by hysterosalpingography (HSG). Hysterosalpingo-foam sonography (HyFoSy) is a new technique that is thought to have comparable accuracy as HSG, while it is less expensive and more patient friendly. HyFoSy would be an acceptable alternative for HSG, provided it has similar effectiveness in terms of patient outcomes. METHODS/DESIGN: We aim to compare the effectiveness and costs of management guided by HyFoSy or by HSG...
May 9, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29737300/effect-of-laparoscopy-combined-with-mifepristone-in-the-treatment-of-endometriosis-and-drug-reaction-analysis
#10
Jing Li, Huilin Yang, Jie Song
Endometriosis is a common benign disease of Gynecology, which often causes symptoms of dysmenorrhea, pelvic pain and infertility. In this paper, we analyzed the effect of laparoscopy combined with mifepristone in the treatment of endometriosis. By observing the clinical efficacy and side effects of small dose mifepristone, we explored the feasibility of small dose mifepristone in the treatment of recurrent endometriosis. The results showed that the clinical symptoms of small dose mifepristone group and danazol group were improved to varying degrees...
May 2018: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29735467/effect-of-laparoscopy-combined-with-mifepristone-in-the-treatment-of-endometriosis-and-drug-reaction-analysis
#11
Jing Li, Huilin Yang, Jie Song
Endometriosis is a common benign disease of Gynecology, which often causes symptoms of dysmenorrhea, pelvic pain and infertility. In this paper, we analyzed the effect of laparoscopy combined with mifepristone in the treatment of endometriosis. By observing the clinical efficacy and side effects of small dose mifepristone, we explored the feasibility of small dose mifepristone in the treatment of recurrent endometriosis. The results showed that the clinical symptoms of small dose mifepristone group and danazol group were improved to varying degrees...
May 2018: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29712562/endometrium-metabolomic-profiling-reveals-potential-biomarkers-for-diagnosis-of-endometriosis-at-minimal-mild-stages
#12
Jingjie Li, Lihuan Guan, Huizhen Zhang, Yue Gao, Jiahong Sun, Xiao Gong, Dongshun Li, Pan Chen, Xiaoyan Liang, Min Huang, Huichang Bi
BACKGROUND: The sensitivity and specificity of non-invasive diagnostic methods for endometriosis, especially at early stages, are not optimal. The clinical diagnostic indicator cancer antigen 125 (CA125) performs poorly in the diagnosis of minimal endometriosis, with a sensitivity of 24%. Therefore, it is urgent to explore novel diagnostic biomarkers. We evaluated the metabolomic profile variation of the eutopic endometrium between minimal-mild endometriosis patients and healthy women by ultra-high-performance liquid chromatography coupled with electrospray ionization high-resolution mass spectrometry (UHPLC-ESI-HRMS)...
April 30, 2018: Reproductive Biology and Endocrinology: RB&E
https://www.readbyqxmd.com/read/29684118/spontaneous-endometriosis-in-cynomolgus-monkeys-as-a-clinically-relevant-experimental-model
#13
A Nishimoto-Kakiuchi, S Netsu, S Okabayashi, K Taniguchi, H Tanimura, A Kato, M Suzuki, T Sankai, R Konno
STUDY QUESTION: Does spontaneous endometriosis in cynomolgus monkeys have the characteristics required of a good experimental model? SUMMARY ANSWER: Spontaneous endometriosis in cynomolgus monkeys exhibited similar clinicopathological characteristics to the human disease and was useful as an experimental model. WHAT IS KNOWN ALREADY: The prevalence of endometriosis in autopsied cynomolgus monkeys (Macaca fascicularis) in a breeding colony was reported to be 28...
April 19, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29668354/effect-of-pulsed-high-intensity-laser-therapy-on-pain-adhesions-and-quality-of-life-in-women-having-endometriosis-a-randomized-controlled-trial
#14
Ali Abd El-Monsif Thabet, Mansour Abdullah Alshehri
OBJECTIVE: The purpose of this study was to assess the effectiveness of pulsed high-intensity laser therapy on pain, adhesions, and quality of life in women with endometriosis. BACKGROUND DATA: Endometriosis is among the most common gynecological problems affecting females of childbearing age. The majority of women with endometriosis seek treatment to alleviate pain. MATERIALS AND METHODS: The sample included 40 women with endometriosis to either a mild or a moderate degree aged between 24 and 32 years...
April 18, 2018: Photomedicine and Laser Surgery
https://www.readbyqxmd.com/read/29628331/prediction-of-endometriosis-fertility-index-in-patients-with-endometriosis-associated-infertility-after-laparoscopic-treatment
#15
Xianghui Zhang, Dong Liu, Wei Huang, Qiushi Wang, Xue Feng, Jing Tan
The effect of endometriosis on fecundity is unclear. Although surgery plays a vital role in the treatment of related infertility, pregnancy outcomes after laparoscopy are poorly correlated with the currently used staging system. To address this, the Endometriosis Fertility Index (EFI) was developed. This retrospective study was designed to assess the predictive value of the EFI for patients with endometriosis-associated infertility. A total of 1325 patients with endometriosis-associated infertility were eligible for inclusion, 1097 of whom were successfully interviewed and 228 lost to follow-up (17...
March 27, 2018: Reproductive Biomedicine Online
https://www.readbyqxmd.com/read/29621955/the-hyaluronic-acid-system-is-intact-in-menstrual-endometrial-cells-in-women-with-and-without-endometriosis
#16
Jennifer F Knudtson, Jessica E McLaughlin, Marlen Tellez Santos, Peter A Binkley, Rajeshwar R Tekmal, Robert S Schenken
OBJECTIVE: To characterize the production and degradation of hyaluronic acid (HA) in menstrual endometrial epithelial cells (EECs) and endometrial stromal cells (ESCs) in women with and without endometriosis. To identify the presence of CD44, the primary receptor of HA, in menstrual EECs and ESCs in women with and without endometriosis. DESIGN: In vitro study. SETTING: Academic center. PATIENT(S): Deidentified patient samples from women with and without endometriosis...
January 1, 2018: Reproductive Sciences
https://www.readbyqxmd.com/read/29609032/surgical-excision-versus-ablation-for-superficial-endometriosis-associated-pain-a-randomized-controlled-trial
#17
Kristin A Riley, Andrea S Benton, Timothy A Deimling, Allen R Kunselman, Gerald J Harkins
STUDY OBJECTIVE: To compare surgical excision and ablation of endometriosis for treatment of chronic pelvic pain. DESIGN: Randomized clinical trial with 12-month follow-up (Canadian Task Force classification I). SETTING: Single academic tertiary care hospital. PATIENTS: Women with minimal to mild endometriosis undergoing laparoscopy. INTERVENTIONS: Excision or ablation of superficial endometriosis at the time of robot-assisted laparoscopy...
March 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29587611/serum-microrna-biomarkers-regulated-by-simvastatin-in-a-primate-model-of-endometriosis
#18
Emine Cosar, Ramanaiah Mamillapalli, Irene Moridi, Antoni Duleba, Hugh S Taylor
Endometriosis is a chronic inflammatory and estrogen-dependent disease that causes pain and infertility in reproductive-aged women. Due to the delay in diagnosis, there is a pressing need for accurate biomarkers. Detection of serum noncoding RNA molecules such as microRNAs (miRNAs) shows promise as a noninvasive diagnostic strategy; we previously identified miRNAs that are highly sensitive and specific biomarkers for the disease. In this study, we investigate the expression of these miRNAs in a nonhuman primate model of endometriosis...
January 1, 2018: Reproductive Sciences
https://www.readbyqxmd.com/read/29573627/intraoperative-enhanced-imaging-for-detection-of-endometriosis-a-systematic-review-of-the-literature
#19
REVIEW
Mahdi Al-Taher, Shugi Hsien, Rutger M Schols, Nehalennia Van Hanegem, Nicole D Bouvy, Gerard A J Dunselman, Laurents P S Stassen
The diagnosis of peritoneal endometriosis during laparoscopy may be difficult due to the polymorphic aspects of the lesions. Enhanced imaging using contrast agents has potential to provide a better identification of peritoneal endometriosis. The aim of this systematic review is to provide an overview of the literature on what is known about the intraoperative laparoscopic visual enhancement of peritoneal endometriosis using contrast agents. A systematic review was done of studies about enhanced imaging during laparoscopy for endometriosis using contrast agents...
May 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29564318/postoperative-outcomes-of-natural-orifice-transluminal-endoscopic-surgery-assisted-vaginal-hysterectomy-and-conventional-laparoscopic-assisted-vaginal-hysterectomy-a-comparative-study
#20
Seong Hee Kim, Chan Hee Jin, In Taek Hwang, Jun Sook Park, Jung Hwan Shin, Dae Woon Kim, Yong Soo Seo, Jee Nah Sohn, Yun Seok Yang
Objective: The present study aimed to determine the differences in outcomes between natural orifice transluminal endoscopic surgery-assisted vaginal hysterectomy (NAVH) and conventional laparoscopy-assisted vaginal hysterectomy (LAVH). Methods: We retrospectively reviewed the charts of patients who between July 2012 and September 2015, were diagnosed as having benign uterine disease such as uterine myoma, endometriosis, or adenomyosis and managed via NAVH or LAVH in a single-center (Eulji University Hospital)...
March 2018: Obstetrics & Gynecology Science
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