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Titles list[Recurrence of pain after surgery for deeply infiltrating endometriosis: How does it happen? How to manage?]
Titles list[Recurrence of pain after surgery for deeply infiltrating endometriosis: How does it happen? How to manage?]
Scientific Article
unige:77354 
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[Recurrence of pain after surgery for deeply infiltrating endometriosis: How does it happen? How to manage?] |
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| Authors | ||
| Published in | Journal de gynécologie obstétrique et biologie de la reproduction. 2014, vol. 43, no. 1, p. 12-8 | |
| Abstract | Recurrence of deep endometriosis remains a major issue in the management of endometriosis. The main cause for recurrence appears to be an incomplete excisional surgery. Therefore, the goal of the primary surgery should be the complete resection of all endometriotic lesions. If surgical skills cannot meet this objective it seems preferable to refer the patient to a center with a recognized expertise in this field rather than performing an incomplete surgery. It seems also possible to tailor the indications according to the symptoms, especially when endometriosis affects the bladder in association with an asymptomatic vaginal and/or rectal involvement. This strategy does not increase the rate of recurrence. Postoperative medical treatment based on ovarian function suppression is attractive as it diminishes the recurrence rate. Facing the recurrence, appropriate assessment of the benefit risk balance must be performed. Medical treatment is an option. When surgery is chosen, it seems interesting to discuss carefully the indication of hysterectomy with bilateral oophorectomy, especially for women over 40 years old with no desire for pregnancy and/or symptomatic adenomyosis. Risks of induced ovarian castration must be taken into account. | |
| Keywords | Danazol/therapeutic use — Endometriosis/complications/epidemiology/surgery — Female — Humans — Intestinal Diseases/complications/epidemiology/surgery — Molecular Targeted Therapy/trends — Norethindrone/therapeutic use — Pelvic Pain/epidemiology/etiology/therapy — Peritoneal Diseases/complications/epidemiology/surgery — Postoperative Period — Pregnancy — Recurrence | |
| Identifiers | PMID: 23265672 | |
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| Research group | Groupe Petignat Patrick (933) | |
| Citation (ISO format) | BORGHESE, B et al. [Recurrence of pain after surgery for deeply infiltrating endometriosis: How does it happen? How to manage?]. In: Journal de gynécologie obstétrique et biologie de la reproduction, 2014, vol. 43, n° 1, p. 12-8. doi: 10.1016/j.jgyn.2012.11.009 https://archive-ouverte.unige.ch/unige:77354 |
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