Chirurginis endometriozės gydymas: literatūros apžvalga

Andrius Simavičius, Emilija Bogužienė, Rasa Kupčiūnaitė, Karolis Černauskis
In: Lietuvos chirurgija · 2015 · vol. 14(1) , pp. 7–13 · doi:10.15388/lietchirur.2015.1.5327 · W1834277479
article OA: diamond CC0 ⤵ 1 in-corpus citation
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Surgical treatment of endometriosis, particularly laparoscopy, is crucial for symptom relief and fertility, with techniques varying based on lesion type and extent, emphasizing complete excision for best outcomes.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Endometriozė – dažna reprodukcinio amžiaus moterų liga, sukelianti skausmą ir nevaisingumą. Chirurginis gydymas yra vienas iš svarbiausių endometriozės gydymo etapų. Tinkamas chirurginis gydymas palengvina endometriozės sukeliamus simptomus ir padidina pastojimo dažnį gydant nevaisingumą. Laparoskopinės chirurgijos technikų ir taktikų tobulėjimas lėmė, kad endometriozės chirurginis gydymas tapo svarbiu gydymo etapu, turinčiu pranašumų, palyginti su medikamentiniu gydymu. Skiriamos trys pagrindinės ligos formos: pilvaplėvės, kiaušidžių ir gilioji rektovaginalinės pertvaros endometriozė. Paprasčiausia atlikti paviršinių endometriozės židinių abliaciją, o gydant giliąsias ligos formas židinių ekscizijos būdu reikalinga chirurgo patirtis ir įgūdžiai. Endometriozės chirurginis gydymas yra tausojantis arba radikalus, jei šalinama gimda ir (ar) kiaušidės. Labai svarbu laparoskopijos būdu nustačius endometriozę pašalinti visus matomus pažeidimus. Pagrindinis šio straipsnio tikslas yra padėti suprasti chirurginio gydymo svarbą gydant endometriozę ir pateikti moksliškai pagrįstus įrodymus, kaip tinkamai gydyti endometriozę chirurginiu būdu.
Full text 1,257 characters · extracted from oa-html · click to expand
Abstract Endometriosis is a common disease of reproductive age women, causing not only pain but also infertility. Surgery is one of the most important steps of endometriosis treatment. Correct surgical treatment not only reduces the symptoms, but also improves the pregnancy rate with infertility. Advances in laparoscopic surgery have made the surgical management of endometriosis an effective treatment that offers advantages over medical therapy. Endometriosis can be understood as three different forms of the disease: peritoneal disease, ovarian disease, deep infiltrating rectovaginal endometriosis. The majority of gynaecologists readily perform laparoscopic ablation of superficial disease. Excision of deeper disease and management of rectovaginal disease require more expertise and should be managed in tertiary centres. Surgical treatment of endometriosis can be conservative or definitive, when both ovaries are removed. When endometriosis is identified at laparoscopy, clinicians are recommended to surgically treat endometriosis and remove all visible lesions. The aim of this article is to understand the role of surgery in the management of endometriosis and to be aware of the best available evidence on the proper surgery of endometriosis.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-html ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (33)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK