Endometriosis, Endometrioma, and the Problem of Adhesions

Endometriosis is one of the three major causes of pelvic adhesions in women. It affects young women, causing infertility and pelvic pain, and can result in ovarian disease, compromising seriously the ovarian function. In addition, the disease develops insidiously and by time the diagnosis is established, adhesions have frequently caused severe disease. Surgery is the treatment of choice but, unfortunately, is also a cause of adhesion formation. As can be anticipated, once a vicious circle of adhesive pelvic disease and repeat surgery is established, the only road out leads to radical surgery and premature castration. Nevertheless, the disease is benign and there is a risk of undertreatment, but probably even more of overtreatment. Excessive surgery can result in loss of normal ovarian tissue and postoperative adhesions in recurrent cyst formation. Consequently, the first surgical procedure may well determine the reproductive outcome in young women affected by the disease, and therefore both the decision to operate and the performance of the procedure require the best possible consideration and care. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

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