Data di Pubblicazione:
1988
Citazione:
Second-look laparoscopy in the treatment of endometriosis / L. Fedele, P.p. Vercellini, T. Viezzoli, M. Marchini, G.B. Candiani. - In: INTERNATIONAL JOURNAL OF FERTILITY. - ISSN 0020-725X. - 33:4(1988), pp. 237-240.
Abstract:
The results of second-look laparoscopy were compared with subjective symptomatology and findings at pelvic exploration in 36 patients who had received conservative treatment for endometriosis. In the 14 patients given pharmacologic treatment, second-look laparoscopy demonstrated active endometriosis in 57.1%, whereas pelvic pain was present in 64.3% and gynecologic examination was positive in 28.6%. In the 22 patients who underwent surgery, active endometriosis was detected by second-look laparoscopy in 31.8%, whereas 40.9% reported pelvic pain and pelvic examination was positive in 31.8%. Thus clinical signs and symptoms were unreliable in the diagnosis of endometriosis recurrence, whereas laparoscopy was indispensable. It should be programmed for 6 months from the end of medical treatment and 12 months after surgery; however, if the pain symptomatology recurs, then laparoscopy is performed immediately.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Laparoscopy ; Humans ; Danazol ; Adult ; Follow-Up Studies ; Endometriosis ; Neoplasm Recurrence, Local ; Pelvic Neoplasms ; Female
Elenco autori:
L. Fedele, P.p. Vercellini, T. Viezzoli, M. Marchini, G.B. Candiani
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