12,395 results match your criteria surgery endometriomas


Ultrasonographic 3D Evaluation in the Diagnosis of Bladder Endometriosis: A Prospective Comparative Diagnostic Accuracy Study.

Gynecol Obstet Invest 2021 Jun 22:1-8. Epub 2021 Jun 22.

Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genova, Genova, Italy.

Objective: The use of three-dimensional (3D) transvaginal ultrasonography (TVS) has been investigated for the diagnosis of deep endometriosis (DE). This study aimed to evaluate if 3D reconstructions improve the performance of TVS) in assessing the presence and characteristics of bladder endometriosis (BE).

Design: This was a single-center comparative diagnostic accuracy study. Read More

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Proposal for developing treatment algorithms of women with symptomatic adenomyosis: A single-center experience.

J Obstet Gynaecol Res 2021 Jun 21. Epub 2021 Jun 21.

Department of Obstetrics and Gynecology, Nara Medical University, Nara, Japan.

Aims: The most common symptoms of adenomyosis include heavy menstrual bleeding and dysmenorrhea. A variety of medical or surgical techniques are utilized for the treatment of adenomyosis, but there are currently no specific treatment guidelines and best practice recommendations for management. The aim of this study is to summarize current treatment strategies for women with symptomatic adenomyosis in a single-center university hospital in order to provide reliable information for developing treatment algorithms. Read More

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Characteristics of ovarian endometrioma during pregnancy.

J Obstet Gynaecol Res 2021 Jun 21. Epub 2021 Jun 21.

Perinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, Japan.

Aim: During pregnancy, the ovarian endometrioma generally decreases in size and occasionally ruptures. We evaluated (1) whether and how ovarian-endometrioma size changes from the first trimester to the postdelivery period, and (2) the type of endometrioma more likely to rupture during pregnancy.

Methods: During an 18-year period (2000-2018), ultrasound in the first trimester revealed ovarian endometrioma in 149 pregnant women at our tertiary institute. Read More

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Postsurgical adhesion formation score pitfalls in endometriosis surgery.

Langenbecks Arch Surg 2021 Jun 21. Epub 2021 Jun 21.

Department of Traumatology, Orthopedics and Oncology, Khoja Akhmet Yassawi International Kazakh-Turkish University, Bekzat Sattarkhanov Avenue, 29, Turkistan, Kazakhstan.

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Malignant transformation of hepatic endometriosis: a case report and literature review.

BMC Womens Health 2021 Jun 21;21(1):249. Epub 2021 Jun 21.

Department of Pathology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.

Background: Extrapelvic endometriosis is defined as the presence of ectopic endometrial tissue in structures outside the pelvis. Although extra-pelvic endometriosis is generally considered benign conditions, malignant potential within endometriotic foci occurs even after definitive surgery. Malignant transformation of hepatic endometriosis is extremely rare. Read More

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Spontaneous Bilateral Ectopic Pregnancy in a Patient With Endometriosis.

J Emerg Med 2021 Jun 17. Epub 2021 Jun 17.

Department of Emergency Medicine, SUNY Downstate Medical Center, Brooklyn, New York; Department of Emergency Medicine, Kings County Hospital Center, Brooklyn, New York.

Background Bilateral ectopic pregnancies (EPs) occur in 1 of 200,000 pregnancies. Evidence suggests that endometriosis is an independent risk factor for unilateral EPs. However, the link between endometriosis and bilateral EPs has not been established. Read More

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Risk factors for ovarian endometrioma recurrence following surgical excision: a systematic review and meta‑analysis.

Arch Gynecol Obstet 2021 Jun 20. Epub 2021 Jun 20.

Department of Gynecology, Shenyang Women's and Children's Hospital, 87 Danan Street, Shenyang, 110011, Liaoning, China.

Purpose: Exploring potential risk factors for OMA recurrence, thereby contributing to the individual management of the disease and improving the patients' prognosis.

Methods: Data sources PubMed, Embase, the Cochrane Library, CNKI, and Wanfang data were searched systematically before October 2020. We computed the pooled odd ratios or the standard mean difference with their corresponding 95% confidence interval to investigate the impact of involved risk factors on endometrioma recurrence. Read More

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Clinical Presentation and Evaluation of Pelvic Venous Disorders in Women.

Tech Vasc Interv Radiol 2021 Mar 16;24(1):100730. Epub 2021 Apr 16.

Department of Surgery, University of Washington School of Medicine, Seattle, WA.

The term pelvic venous disorders (PeVD) describes a group of related clinical entities with overlapping clinical presentations that were previously characterized by separate imprecise syndromic terminology. The clinical manifestations of PeVD may variously include chronic pelvic pain; pelvic origin extrapelvic lower extremity and genital varices; lower extremity pain and swelling; and left flank pain and hematuria. This manuscript focuses on the primary manifestations of PeVD in women - chronic pelvic pain and pelvic origin lower extremity and vulvar varices - and will review the underlying pathophysiology and related complicating factors (such as maladaptive pain responses) to explain the variety of clinical presentations. Read More

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Coexistence of endometriomas with extraovarian endometriosis and adhesions.

Eur J Obstet Gynecol Reprod Biol 2021 Jun 4;263:20-24. Epub 2021 Jun 4.

Department of Obstetrics and Gynecology, Academic Hospital Cologne Weyertal University of Cologne, Germany.

Objective: The aim of the study is to show the coexistence of the endometriomas with peritoneal and deep infiltrating endometriosis, as well as with the adhesions. Study design It's a randomized retrospective study. Patients treated for endometrioma at Academic Hospital Cologne Weyertal from January 2014 to October 2019 were included. Read More

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Robot-assisted transvaginal natural orifice transluminal endoscopic surgery (RvNOTES) for management of endometriosis: A pilot study of 33 cases.

J Minim Invasive Gynecol 2021 Jun 15. Epub 2021 Jun 15.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston Texas, U.S.A.. Electronic address:

Study Objective: To describe the surgical techniques and short-term outcomes for 33 cases of robot-assisted transvaginal natural orifice transluminal endoscopic surgery (RvNOTES) to treat endometriosis.

Design: Retrospective case series study SETTING: Academic tertiary care university hospital in Houston, TX USA.

Patients: Patients who underwent RvNOTES resection of endometriosis between March 2020 and March 2021. Read More

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Epithelial-to-mesenchymal transition contributes to the downregulation of progesterone receptor expression in endometriosis lesions.

J Steroid Biochem Mol Biol 2021 Jun 15:105943. Epub 2021 Jun 15.

Department of Gynecology and Gynecological Oncology, Inselspital, Bern University Hospital, University of Bern, Friedbuehlstrasse 19, 3010, Bern, Switzerland; Department for BioMedical Research (DBMR), University of Bern, Murtenstrasse 35, 3008, Bern, Switzerland.

Endometriosis is a common, estrogen-dependent disease, in which endometrial tissue grows in the peritoneal cavity. These lesions often express low levels of progesterone receptors (PR), which potentially play an important role in the insufficient response to progestin treatment. Here, we uncover an interconnection between the downregulated PR expression and the epithelial-to-mesenchymal transition (EMT) in endometriotic lesions. Read More

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A Rare Case of Intestinal Low-Grade Endometrial Stromal Sarcoma With Glandular Differentiation and Associated Endometriosis.

Cureus 2021 May 2;13(5):e14801. Epub 2021 May 2.

Histopathology, Northern Care Alliance National Health Service (NHS) Trust, Oldham, GBR.

Endometrial stromal sarcoma is a rare tumour. It is even rarer to find it arising in the background of endometriosis in an extrauterine location. This case report describes a case of missed diagnosis of intestinal extra-uterine endometrial stromal sarcoma associated with endometriosis, and the subsequent presentation with distant metastases. Read More

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Perioperative considerations in the treatment of endometriosis.

J Turk Ger Gynecol Assoc 2021 Jun 10. Epub 2021 Jun 10.

Department of Obstetrics and Gynecology, University Hospital of Schleswig-Holstein, Kiel, Germany.

Endometriosis is one of the most common benign diseases in women of reproductive age. Nearly all gynecological offices and clinics are confronted with endometriosis; the frequency and severity of the disease vary from one setting to another. Adjoining specialties such as internal medicine, general medicine, surgery, urology, orthopedics, neurology and psychosomatic medicine are directly or indirectly confronted with various forms of endometriosis and its sequelae. Read More

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Differences in growth and vascularization of ectopic menstrual and non-menstrual endometrial tissue in mouse models of endometriosis.

Hum Reprod 2021 Jun 10. Epub 2021 Jun 10.

Institute for Clinical and Experimental Surgery, Saarland University, Homburg/Saar, Germany.

Study Question: Is there a difference in the growth and vascularization between murine endometriotic lesions originating from menstrual or non-menstrual endometrial fragments?

Summary Answer: Endometriotic lesions developing from menstrual and non-menstrual tissue fragments share many similarities, but also exhibit distinct differences in growth and vascularization, particularly under exogenous estrogen stimulation.

What Is Known Already: Mouse models are increasingly used in endometriosis research. For this purpose, menstrual or non-menstrual endometrial fragments serve for the induction of endometriotic lesions. Read More

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Management of Patients when Superficial Venous Disease Arises from Pelvic Escape Points.

Semin Intervent Radiol 2021 Jun 3;38(2):226-232. Epub 2021 Jun 3.

Department of Clinical Radiology and Surgery, Hospital of the University of Pennsylvania - Perelman School of Medicine, Philadelphia, Pennsylvania.

Chronic pelvic pain (CPP) is a common condition in women that carries with it significant morbidity. It is commonly seen in patients presenting to obstetrics and gynecology outpatient clinic visits. CPP is a presenting symptom of various pathologies including pelvic varicocele, pelvic adhesions, spastic colon syndrome, uterine fibroids, endometriosis, and psychosomatic disorders. Read More

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Functional changes of immune cells: signal of immune tolerance of the ectopic lesions in endometriosis?

Reprod Biomed Online 2021 Apr 24. Epub 2021 Apr 24.

Department of Gynecology Charité with Center of Oncological Surgery, Endometriosis Research Center Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany. Electronic address:

Research Question: What is the potential role of immune cells and their inflammatory cytokines in the pathogenesis, development and establishment of endometriosis?

Design: Peritoneal fluid from 59 women (43 with endometriosis and 16 controls) who had undergone laparoscopic surgery was analysed. Changes in the population of innate and adaptive immune cells, cytokines, chemokines and growth factor expression were measured by flow cytometry, Luminex Technology and enzyme-linked immunosorbent assay.

Results: No differences were found in the frequencies of the innate and adaptive immune cells between women with and without endometriosis. Read More

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A prospective study comparing rectal water-contrast transvaginal ultrasonography with sonovaginography for the diagnosis of deep posterior endometriosis.

Acta Obstet Gynecol Scand 2021 Jun 6. Epub 2021 Jun 6.

Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Introduction: Preoperative assessment of deep endometriotic (DE) nodules is necessary to inform patients about the possible treatments and provide informed consent in case of surgery. This study aims to investigate the diagnostic performance of rectal water-contrast transvaginal ultrasonography (RWC-TVS) and sonovaginography (SVG) in women with suspicion of posterior DE.

Material And Methods: This prospective comparative study (NCT04296760) enrolled women with clinical suspicion of DE at our institution (Piazza della Vittoria 14 SRL, Genoa, Italy). Read More

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Transvaginal ultrasound for the diagnosis of endometriosis in the uterosacral ligaments, torus uterinus and posterior vaginal fornix: a prospective study.

Ultrasound Obstet Gynecol 2021 Jun 5. Epub 2021 Jun 5.

Endometriosis Unit, ICGON, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.

Objectives: Evaluate the diagnostic accuracy of transvaginal sonography (TVS) in predicting the presence of deep endometriosis (DE) in the uterosacral ligaments (USLs), torus uterinus (TU) and posterior vaginal fornix (PVF) in women with suspected endometriosis scheduled for laparoscopic surgery. Additionally, we assessed the association of DE in other pelvic locations and correlated symptoms with the presence of DE in the USLs, TU and PVF.

Methods: Consecutive women with clinically suspected or proven pelvic endometriosis scheduled for laparoscopic surgery were invited to participate in the study. Read More

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MALIGNANT TUMORS OF THE APPENDIX: CLINICAL AND MORPHOLOGICAL ANALYSIS OF CASES FROM THE PRACTICE.

Wiad Lek 2021 ;74(5):1277-1280

STATE ORGANIZATION «GRYGORIEV INSTITUTE FOR MEDICAL RADIOLOGY AND ONCOLOGY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE», KHARKIV, UKRAINE.

The authors have analyzed medical histories of two patients, treated in health care facilities of Kharkiv region from 2008 to 2020. These patients underwent urgent appendectomy, given the existing clinic of acute appendicitis. Morphological examination of the surgical material allowed us to diagnose adenocarcinoma in one case, and neuroendocrine tumor in combination with endometriosis in the other case. Read More

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Postoperative opioid use for patients with chronic pelvic pain undergoing robotic surgery for resection of endometriosis.

J Robot Surg 2021 Jun 2. Epub 2021 Jun 2.

Director of Minimally Invasive Surgery, From the Department of Obstetrics and Gynecology, Baylor College of Medicine, 6651 Main Street, Suite F1020, Houston, TX, 77030, USA.

We aimed to identify the amount of opioids used in the postoperative setting for patients with a history of chronic pelvic pain undergoing robotic surgical excision of endometriosis and compare this to patients undergoing benign robotic gynecologic surgery for other indications. We conducted a retrospective cohort study in an urban academic university hospital from January 2019 to March 2020. Data regarding opioid use was collected via a patient-reported survey that was given at the 3 weeks follow-up visit. Read More

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Sonographic Signs of Adenomyosis in Women with Endometriosis Are Associated with Infertility.

J Clin Med 2021 May 27;10(11). Epub 2021 May 27.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.

We compared the prevalence of ultrasound signs of adenomyosis in women with endometriosis who underwent surgery to those who were managed conservatively. This was a retrospective study of women evaluated at a tertiary endometriosis referral center who underwent 2D/3D transvaginal ultrasound. Adenomyosis diagnosis was based on the presence of at least three sonographic signs. Read More

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Recommendations for a Combined Laparoscopic and Transanal Approach in Treating Deep Endometriosis of the Lower Rectum-The Rouen Technique.

J Pers Med 2021 May 13;11(5). Epub 2021 May 13.

Centre d'endométriose, Clinique Tivoli-Ducos, 91 rue Rivière, 33000 Bordeaux, France.

The complete excision of low rectovaginal deep endometriosis is a demanding surgery associated with an increased risk of intra- and postoperative complications, which can impact the quality of life. Given the choices of optimal surgery procedures available, we would like to emphasize that a minimally invasive approach with plasma medicine and a transanal disc excision could significantly improve surgery for deep endometriosis, avoiding the lateral thermal damage of vascular and parasympathetic fibers of roots S2-S5 in the pelvic plexus. The management of low rectal deep endometriosis is distinct from other gastrointestinal-tract endometriosis nodules. Read More

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Abdominal wall endometriosis: an update in diagnosis, perioperative considerations and management.

Curr Opin Obstet Gynecol 2021 May 28. Epub 2021 May 28.

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Magee-Womens Hospital of UPMC, Pittsburgh, Pennsylvania, USA.

Purpose Of Review: Abdominal wall endometriosis (AWE) is rare with limited evidence guiding diagnosis and treatment. The purpose of this review is to provide an update of the diagnosis, perioperative considerations, and treatment of AWE.

Recent Findings: Recent studies further characterize presenting symptoms and locations of AWE. Read More

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Endometriosis: Etiology, pathobiology, and therapeutic prospects.

Cell 2021 May;184(11):2807-2824

EXPPECT Centre, The University of Edinburgh, Edinburgh Bioquarter, 47 Little France Crescent, Edinburgh EH16 4TJ, UK.

Endometriosis is a common condition associated with infertility that causes chronic pain in many, but not all, women. It is defined by the presence of endometrial-like tissue outside the uterus. Although the cause and natural history of the disorder remain uncertain, hormonal, neurological, and immunological factors are all implicated in the mechanisms contributing to development of symptoms. Read More

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Diagnosis and Treatment of Vulvo-Perineal Endometriosis: A Systematic Review.

Front Surg 2021 11;8:637180. Epub 2021 May 11.

Department of Gynecology-Andrology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.

To describe the available knowledge on vulvo-perineal endometriosis including its diagnosis, clinical management and recurrence rate. We followed the PRISMA guidelines for Systematic Reviews and our study was prospectively registered with PROSPERO (CRD42020202441). The terms " and " or " were used as keywords. Read More

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Could hormonal and follicular rearrangements explain timely menopause in unilaterally oophorectomized women?

Hum Reprod 2021 Jun;36(7):1941-1947

AP-HP, Department of Reproductive Medicine & Fertility Preservation, Hôpital Antoine Béclère, Clamart, France.

Study Question: Does unilateral oophorectomy modify the relationship between serum anti-Müllerian hormone (AMH) levels and antral follicle count (AFC)?

Summary Answer: No altered 'per-ovary' and 'per-follicle' AMH production and antral follicle distribution was evident in unilaterally oophorectomized women compared to matched controls.

What Is Known Already: The age of menopause onset is relatively unchanged in patients having undergone unilateral oophorectomy. Mechanisms that occur to preserve and maintain ovarian function in this context remain to be elucidated. Read More

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Dienogest vs GnRH agonists as postoperative therapy after laparoscopic eradication of deep infiltrating endometriosis with bowel and parametrial surgery: a randomized controlled trial.

Gynecol Endocrinol 2021 May 26:1-4. Epub 2021 May 26.

Ospedale Policlinico San Martino, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy.

Background: The recurrence of deep infiltrating endometriosis (DIE) after its surgical excision is a big problem: postoperative treatment is crucial.

Objective: To compare two postoperative treatments: Dienogest and GnRH agonists.

Design: Prospective Randomized Controlled Trial (RCT). Read More

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Adhesion prevention after endometriosis surgery - results of a randomized, controlled clinical trial with second-look laparoscopy.

Langenbecks Arch Surg 2021 May 26. Epub 2021 May 26.

Department for Women's Health, University Hospital Tübingen, Calwerstr. 7, 72076, Tübingen, Germany.

Purpose: Adhesion formation after endometriosis surgery is a severe problem affecting up to 90% of patients. Possible complications include chronic pain, ileus, and secondary infertility. Therefore, effective adhesion prophylaxis is desirable, for which the adhesion barrier 4DryField PH is evaluated in the present clinical study. Read More

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Intramedullary Endometriosis of the Conus Medullaris.

Cureus 2021 Apr 20;13(4):e14581. Epub 2021 Apr 20.

Surgery, Universidade Pontifical Catholic University of Paraná, Curitiba, BRA.

Endometriosis (EM) is a common gynecological disease characterized by endometrial-like tissue outside the uterine cavity. We report a case of intramedullary EM, a rare condition with only seven similar cases reported until today. MRI showed a mass-like lesion within the spinal canal at the L1-L2 levels and the histological and immunohistochemical features were characteristic of intraspinal endometriosis (IEM). Read More

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