The Endometriosis Combined Treatment Results of the Department of Gynecology and Minimally Invasive Therapy, Na Homolce Hospital, Prague in six years period 2001 - 2007


Authors: L. Pelíšek;  V. Kempe;  M. Kolrusová;  D. Struppl
Authors‘ workplace: Oddělení gynekologie i minimálně invazivní chirurgie, Nemocnice Na Homolce, Praha, primář MUDr. Z. Zelenka
Published in: Čes. Gynek.2008, 73, č. 2 s. 125-127

Overview

Objective:
The endometriosis combined treatment optimisation on the basis of own results.

Design:
The retrospective clinical study.

Department:
Department of Gynecology and Minimally Invasive Therapy, Na Homolce Hospital Prague.

Methods:
The retrospective analysis of the endometriosis treatment results on the basis of subjective severity and the inspection laparoscopy objective determination including work-up and imaging examinations.

Results:
Out of 586 patients, who underwent endometriosis combined (surgical and medicamentous) treatment, there were 91% of patients with no subjective severity with normal inspection laparoscopy determination in area of lesser pelvis.

Conclusion:
91% of treatment success entitles us to consider that our method of the endometriosis treatment is an option for future. We plan a long term monitoring of patients after restore to health within a period of years and percentage of pregnancy success, which we monitored alongside patients with the deep-infiltrating endometriosis.

Key words:
endometriosis, surgical treatment, medicamentous treatment, add-back therapy, laparoscopy


Sources

1. Holub, Z., Kužel, D., a kol. Minimálně invazivní operace v gynekologii. Praha: Grada, Avicenum, 2005, s.54-66.

2. Jones, KD., Sutton, C. Patient satisfaction and changes in pain scores after ablative laparoscopic surgery for stage III.-IV. Endometriosis and endometriotic cysts. Fertil Steril, 2003, 79, p. 1086-1090.

3. Keckstein, J., Ulrich, U., Kandolf, O., et al. Laparoscopic therapy of intestinae endometriosis and the ranking of drug treatment. Zbl. Gynek., 2003, 125, p. 259-266.

4. Mára, M., Fučíková, Z. ,Kužel, D., et al. Laparoskopie při chronické pánevní bolesti – retrospektivní klinická studie. Čes Gynek, 2002, 67, s. 38-46.

5. Stratton, P., Winkel, C., Premukumar, A. Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopatologic examination for the detection of endometriosis. Fertil Steril, 2003, 79, p. 1078-1085.

6. Valle, RF., Sciarra, JJ. Endometriosis: treatment strategies. Ann NY Acad Sci, 2003, 997, p. 229-239.

7. Vercellini, P., Aimi, G., Busacca, M. Laparoscopic uterosacral ligament resection for dysmenorrheal associated with endometriosis: results of a randomized, controlled trial. Fertil Steril, 2003, 80, p. 310-319.

8. Winkel, CA. Evaluation and management of women with endometriosis. Obstet Gynec, 2003, 102, p. 397-408.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 2

2008 Issue 2

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