Adhesions are recognised as one of the most common complications of abdominal surgery; their diagnosis and prevention remains a significant unmet need in surgical therapy, affecting negatively a patient's quality of life and healthcare budg…
BACKGROUND: Management of endometriosis should be based on the best available evidence. The pyramid of evidence reflects unbiased observations analysed with traditional statistics. Evidence-based medicine (EBM) is the clinical interpretatio…
BACKGROUND: Advanced gynaecological procedures often include extensive pelvic dissections, with the nervous structures involved in the disease. Nerve-sparing and preservation is a key factor in reducing postoperative morbidity. OBJECTIVES:…
Introduction: Endometriosis, one of the most common benign gynaecological diseases, is characterized by a reduced quality of life due to various physical and psychological stresses. Late diagnosis is associated with disease progression and …
First-line diagnostic investigations for endometriosis are physical examination and pelvic ultrasound. The second-line investigations are: targeted pelvic examination performed by an expert clinician, transvaginal ultrasound performed by an…
First-line investigations to diagnose endometriosis are clinical examination and pelvic ultrasound. Second-line investigations include pelvic examination performed by a referent clinician, transvaginal ultrasound performed by a referent ech…
OBJECTIVES: To evaluate the feasibility and functional urinary and digestive results of nerve sparing techniques in endometriosis surgery. METHODS: A research on the medline/pubmed database using specific keywords (nerve sparing, endometri…
STUDY OBJECTIVE: To assess the impact of surgical treatment of endometriosis on quality of life and pain over a 3-year period of postoperative follow-up. DESIGN: Prospective and multicenter cohort study (Canadian Task Force classification …
The article presents French guidelines for surgical management of endometriosis. Surgical treatment is recommended for mild to moderate endometriosis, as it decreases pelvic painful complaints and increases the likelihood of postoperative c…
La prise en charge chirurgicale des endometriomes est une situation frequente. En cas de symptomatologie clinique significative (douleurs notamment), la prise en charge chirurgicale est justifiee, en particulier en cas de resistance au trai…
Antecedentes: El tratamiento quirúrgico de la endometriosis profunda es un procedimiento complejo, asociado a un alto riesgo de complicaciones. Recientemente, el uso de la técnica laparoscópica reversa aparece como una variante técnica inte…
Antecedentes: El tratamiento quirrgico de la endometriosis profunda es un procedimiento complejo, asociado a un alto riesgo de complicaciones. Recientemente, el uso de la tcnica laparoscpica reversa aparece como una variante tcnica interesa…
BACKGROUND: This study was designed to compare the surgical outcomes of standard and reverse laparoscopic techniques for the treatment of rectovaginal endometriosis. METHODS: A retrospective study was conducted in a teaching and research h…
Surgery remains the best treatment for deep endometriosis. The surgical technique is essential to adequately manage the disease; however, the technique is rarely taught and reported in detail. Laparoscopic cystectomy for the treatment of ov…
OBJECTIVE: to evaluate the complications after surgery for deep endometriosis. DESIGN: retrospective study. SETTING: data from the CHU Estaing database and patients' charts between January 1987 and December 2007. SAMPLE: all women given …