Surgical treatment in a large single center cohort of patients with deep infiltrating endometriosis (DIE)

2018 ◽  
Author(s):  
M Goth ◽  
M Grube ◽  
T Praetorius ◽  
S Kommoss ◽  
J Grimm ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Deep Infiltrating Endometriosis ◽  
Single Center ◽  
Infiltrating Endometriosis

Surgical treatment of patients with deep infiltrating endometriosis of the rectovaginal septum

2021 ◽  
Vol 20 (4) ◽  
pp. 5-11
Author(s):  
E.A. Galliamov ◽  
◽  
L.N. Aminova ◽  
V.A. Alimov ◽  
A.G. Kozub ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Comparison Group ◽  
Chronic Pelvic Pain Syndrome ◽  
Main Group ◽  
Pelvic Pain Syndrome ◽  
Deep Infiltrating Endometriosis ◽  
Rectovaginal Septum ◽  
Infiltrating Endometriosis

Objective. To optimize the tactics of surgical treatment of deep infiltrating endometriosis of the rectovaginal septum, including with bowel involvement. Patients and methods. The study included 122 patients diagnosed with deep infiltrating endometriosis of the rectovaginal septum, who underwent surgical interventions of different volumes using laparoscopy. The patients were divided into a main group and a comparison group. The main group consisted of 92 patients with deep infiltrating endometriosis of the rectovaginal septum who underwent surgical treatment using the original technique of systematic approach; the comparison group consisted of 30 patients who were operated using the generally accepted technique. Results. There was a statistically significant decrease in the operation duration, intraoperative blood loss, as well as more effective relief of dysmenorrhea and chronic pelvic pain syndrome, less complications and relapses in the main group compared to the comparison group. In addition, it was found that the combination of three symptoms such as dysmenorrhea, dyspareunia and chronic pelvic pain increase the likelihood of deep infiltrating endometriosis up to 93%. Conclusion. Based on the results obtained, the proposed method of surgical treatment of deep infiltrating endometriosis is more efficient and safer in comparison with the generally accepted technique, which can be considered as a valid reason for its wide introduction into clinical practice. Key words: deep infiltrating endometriosis, bowel endometriosis, surgical treatment of endometriosis, treatment algorithm

High-intensity focused ultrasound: opportunities and prospects in the treatment of uterine fibroid and deep infiltrative endometriosis

2021 ◽  
Vol 70 (2) ◽  
pp. 129-138
Author(s):  
Dmitriy S. Sudakov ◽  
Igor P. Nikolayenkov ◽  
Yulia R. Dymarskaya ◽  
Diana V. Bubnova
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Uterine Fibroid ◽  
Focused Ultrasound ◽  
Uterine Fibroids ◽  
High Intensity Focused Ultrasound ◽  
Deep Infiltrating Endometriosis ◽  
Unplanned Pregnancies ◽  
Infiltrating Endometriosis ◽  
Deep Infiltrative Endometriosis

This literature review is devoted to the use of focused ultrasound in gynecological practice as an alternative to the traditional surgical treatment of uterine fibroids and deep infiltrating endometriosis. According to available data, the effectiveness of the treatment of uterine fibroids with focused ultrasound varies widely, ranging from 16.4% to 93.0%. Due to the lack of prospective studies, it is not possible to draw reliable conclusions about the effect of ablation of uterine fibroid with focused ultrasound on fertility. However, unplanned pregnancies after such treatment occurred up to 19.5%, and in 66.3% of cases, pregnancies ended with the childbirth. Research results demonstrate that in 87% of cases, treatment of retrocervical infiltrative endometriosis using focused ultrasound is feasible. Further data accumulation is required to determine the range of patients with uterine fibroids and deep infiltrating endometriosis, to whom the treating technique could be most effective and safe.

Risk factors for recurrence of deep infiltrating endometriosis after surgical treatment

2021 ◽  
Author(s):  
Daniela Angerame Yela ◽  
Salvatore Giovanni Vitali ◽  
Marina Perencin Vizotto ◽  
Cristina Laguna Benetti‐Pinto
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Deep Infiltrating Endometriosis ◽  
Risk Factors For Recurrence ◽  
Infiltrating Endometriosis

scholarly journals Use of strictureplasty technique for surgical treatment of ileal endometriosis: a case series

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 284
Author(s):  
Carlo Alboni ◽  
Ludovica Camacho Mattos ◽  
Fabio Facchinetti ◽  
Francesca Cabry ◽  
Francesco Serra ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Intestinal Resection ◽  
Segmental Resection ◽  
Deep Infiltrating Endometriosis ◽  
Intestinal Endometriosis ◽  
Bowel Endometriosis ◽  
Alternative Techniques ◽  
Infiltrating Endometriosis

Intestinal deep infiltrating endometriosis is the most frequent extragenital localisation and its traditional surgical treatment is segmental resection of the affected tract. The need for implementing alternative techniques in the treatment of intestinal endometriosis arises from those cases of multiple ileal and recto-sigmoidal localisations, in which removing excessive lengths of intestine could lead to a higher rate of adverse events. Ileal endometriosis represents 4.7% of all intestinal localisations, often associated with multiple lesions and yet, to the best of our knowledge, there are no data on techniques other than intestinal resection for its treatment. Since its capacity to solve fibrostenotic lesions without removing centimeters of intestine, strictureplasty is widely implemented in the management of Crohn’s disease. We propose the use of strictureplasty for the treatment of ileal endometriosis. We performed surgical treatment for symptomatic deep infiltrating endometriosis in two patients with either ileal and sigmoidal localisations. We approached ileal nodules with strictureplasty technique, while sigmoidal nodules were removed by traditional segmental resection. No complications occurred and both patients are now asymptomatic after a 12 months-follow up. Therefore, strictureplasty could provide a tool to eliminate small bowel endometriosis maintaining a regular caliber of the ileal tract without modifying its length.

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