The influence of adenomyosis in patients laparoscopically treated for deep endometriosis

Journal of Minimally Invasive Gynecology
Stefano LandiLuca Minelli

Abstract

A strong association exists between adenomyosis and endometriosis and a common pathogenetic mechanism was proposed. The aim of this study was to evaluate whether and how the presence of concurrent adenomyosis can affect the outcome of laparoscopic excision of deep endometriosis. Data were retrospectively collected from our computerized medical records (Canadian Task Force classification II-3). General hospital. Restrospective evaluation. From January 2003 through July 2005, 40 consecutive patients affected by concomitant endometriosis and adenomyosis were included in group A and another 40 affected by endometriosis only were included in group B. In group A, 20 women required bowel surgery (17 segmental and 3 full-thickness discoid resections) versus 16 patients in the other group (13 segmental bowel resections with end-to-end anastomosis and 3 discoid resections). Dysmenorrhea and dyspareunia after treatment improved (p<.01) in both groups, whereas dyschezia improved only in group A. The persistence of menometrorrhagia was more frequent in group B (p<.01). During follow-up, patients of group A underwent medical treatment for a longer time than those of group B (p<.001). Clinical detection of endometriosis recurrence was more fr...Continue Reading

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Citations

Apr 10, 2009·Human Reproduction·A StepniewskaL Minelli
Jun 24, 2014·Women's Health·Claudia TostiCaterina Exacoustos
Sep 3, 2014·Human Reproduction Update·Nicolas BourdelMichel Canis
May 23, 2012·Gynecological Surgery·Ivo BrosensGiuseppe Benagiano
Dec 26, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·B BorgheseC Chapron
Mar 25, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C ExacoustosD Arduini
Jun 19, 2013·American Journal of Obstetrics and Gynecology·Caterina ExacoustosErrico Zupi
Jul 8, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S B LarsenM Dueholm
Dec 3, 2016·American Journal of Obstetrics and Gynecology·Chloé MaignienCharles Chapron
May 31, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Margit Dueholm
Oct 20, 2017·Current Medical Research and Opinion·Ilaria SoaveRoberto Marci
Sep 20, 2016·Obstetrical & Gynecological Survey·Tasuku HaradaFuminori Taniguchi
Feb 13, 2021·Journal of Clinical Medicine·Kjerstine BreintoftLinn Håkonsen Arendt

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