Treatment of Endometriosis of the Cul-de-Sac

In: Endometriosis · 1995 · pp. 105–115 · doi:10.1007/978-1-4613-8404-5_12 · W887481200
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The cul-de-sac is the most common pelvic site for endometriosis, requiring gynecologic surgeons to be proficient in its identification and treatment.

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This chapter discusses treatment strategies for endometriosis located in the cul-de-sac, noting that this pelvic area is commonly involved and is clinically important. Drawing on historical changes in understanding, it describes how peritoneal disease (more than ovarian involvement) was recognized as more prevalent than earlier interpretations, and it emphasizes the need for gynecologic surgeons to identify and manage cul-de-sac endometriosis. A key limitation is that the provided text is primarily narrative/educational and does not present new original patient data, outcomes, or a methodological framework. This paper is centrally about endometriosis — specifically treatment of cul-de-sac endometriosis and the importance of recognizing peritoneal involvement.

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Abstract

The cul-de-sac holds special importance in endometriosis treatment. It is the pelvic area most commonly involved by the disease (Table 12.1). Indeed, although Sampson’s original publications in the 1920s made it appear that the ovary was the most commonly involved pelvic site, two decades later he realized that peritoneal disease was more common and clinically more important.1-3 Gynecologic surgeons, therefore, must become proficient in identifying and treating cul-de-sac endometriosis. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Sampson JA. Perforating hemorrhagic (chocolate) cysts of the ovary. Arch Surg 1921;3:245–323. Sampson JA. Ovarian hematomas of endometrial type (perforating hemorrhagic cysts of the ovary) and implantation adenomas of the endometrial type. Bost Med Surg J 1922;186:445–456. Sampson JA. The development of the implantation theory for the origin of peritoneal endometriosis. Am J Obstet Gynecol 1940;40:549–557. Jenkins S, Olive DL, Haney AF. Endometriosis: pathogenic implications of the anatomic distribution. Obstet Gynecol 1991;67:335–338. Redwine DB. Mulleriosis: the single best fit model of origin of endometriosis. J Reprod Med 1988;33:915–20. Fujii S. Secondary mullerian system and endometriosis. Am J Obstet Gynecol 1991;165:219–25. Redwine DB. The distribution of endometriosis in the pelvis by age groups and fertility. Fertil Steril 1987;47: 173–175. Sharpe DR, Redwine DB. Laparoscopic segmental resection of the sigmoid and rectosigmoid colon for endometriosis. Surgical Laparoscopy Endoscopy 1992;2:120–14. Ripps BA, Martin DC. Focal pelvic tenderness, pelvic pain and dysmenorrhea in endometriosis. J Reprod Med 1991;36:470–472. Redwine DB. Laparoscopic en bloc resection for treatment of the obliterated cul-de-sac in endometriosis. J Reprod Med 1992;37:695–698. Koninckx PR, Martin DC. Deep endometriosis: a consequence of infiltration or retraction or possibly adeno-myosis externa? Fertil Steril 1992;58:924–928. Evers JLH. The second-look laparoscopy for evaluation of the result of medical treatment of endometriosis should not be performed during ovarian suppression. Fertil Steril 1987;47:502–504. Murphy AA, Green WR, Bobbie D, et al. Unsuspected endometriosis documented by scanning electron microscopy in visually normal peritoneum. Fertil Steril 1986; 46:522–54. Jansen RPS, Russell P. Nonpigmented endometriosis. Clinical, laparoscopic, and pathologic definition. Am J Obstet Gynecol 1986;155:1154–1159. Redwine DB. Is “microscopic” peritoneal endometriosis invisible? Fertil Steril 1988;50:665–666. Nisolle M, Paindaveine B, Bourdon A, et al. Histologic study of peritoneal endometriosis in infertile women. Fertil Steril 1990;53:984–988. Redwine DB, Yocom L. A serial section study of visually normal peritoneum in patients with endometriosis. Fertil Steril 1990;54:648–651. Nezhat F, Allan CJ, Nezhat C, et al. Nonvisualized endometriosis at laparoscopy. Int J Fertil 1991;36:340–33. Redwine DB. Treatment of endometriosis-associated pain. In Olive DL, ed. Endometriosis: Infertility and Reproductive Medicine Clinics of North America. Philadelphia, WB Saunders, 1992, pp 697–720. The American Fertility Society. Revised American Fertility Classification system of endometriosis: 1985. Fertil Steril 1985;44:351–352. Redwine DB. Conservative laparoscopic excision of endometriosis by sharp dissection: life table analysis of reoperation and persistent or recurrent disease. Fertil Steril 1991;56:628–634. Wheeler JM, Malinak LR. Recurrent endometriosis. Contr Gynecol Obstet 1987;16:13–21. Redwine DB. Nafarelin vs Danazol vs Surgery. Fertil Steril 1992;58:455–456. Griffin L, Noller K, Kaminetzky H, et al. Personal communications, 1991. Cook AS, Rock JA. The role of laparoscopy in the treatment of endometriosis. Fertil Steril 1991;55:663–680. Sulewski JM, Curcio FD, Bronitsky C, et al. The treatment of endometriosis at laparoscopy for infertility. Am J Obstet Gynecol 1980;138:128–132. Seiler JC, Gidwani G, Ballard L. Laparoscopic cauterization of endometriosis for fertility: a controlled study. Fertil Steril 1986;46:1098–1100. Hasson HM. Electrocoagulation of pelvic endometriotic lesions with laparoscopic control. Am J Obstet Gynecol 1979;135:115–119. Murphy AA, Schlaff WD, Hassiakos D, et al. Laparoscopic cautery in the treatment of endometriosis-related infertility. Fertil Steril 1991;55:245–251. Pitkin R. Operative lapaoscopy: Surgical advance or technical gimmick. Obstet Gynecol 1992;79:441–442. Redwine DB, Sharpe DR. Laparoscopic segmental resection of the sigmoid colon. Journal of Laparoendoscopic Surgery 1991;1:217–220. Nezhat F, Nezhat C, Pennington E. Laparoscopic proctectomy for infiltrating endometriosis of the rectum. Fertil Steril 1992;57:1129–1132. Summitt RL Jr, Stovall TG, Lipscomb GH, Ling FW. Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting. Obstet Gynecol 1992;80:895–901. Widdowson EM, Dicerkson JWT. Composition of the body. In Diem K, Lentner C, eds. Geigy Scientific Tables, 7th ed. Basle, 1970, pp 517–522. Reich H, McGlynn G, Salvat J. Laparoscopic treatment of cul-de-sac obliteration secondary to retrocervical deep fibrotic endometriosis. J Reprod Med 1991;36:516–522. Nezhat C, Nezhat F, Pennington E. Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaser laparoscopy and the CO2 laser. Brit J Obstet Gynecol 1992;99:664–667. Gold BS, Kitz DS, Lecky JH, et al. Unanticipated admission to the hospital following ambulatory surgery. JAMA 1989;262:3008–3010. Koninckx PR, Meuleman C, Demeyere S, Lesaffre E, Cornillie FJ. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pain. Fertil Steril 1991;55: 759–765. Editor information Editors and Affiliations Rights and permissions Copyright information © 1995 Springer-Verlag New York, Inc. About this chapter Cite this chapter Redwine, D.B. (1995). Treatment of Endometriosis of the Cul-de-Sac. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_12 Download citation DOI: https://doi.org/10.1007/978-1-4613-8404-5_12 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4613-8406-9 Online ISBN: 978-1-4613-8404-5 eBook Packages: Springer Book Archive

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