Endometrioma Ablation: The Role of Laser and Plasma Energy
Endometrioma is a type of ovarian cyst that develops secondary to the presence of endometriosis. It is, also, called ‘’chocolate cyst’’ due to the characteristic colour of the fluid it contains. 17% to 44% of women with endometriosis have an endometrioma (1), of which, in 19% to 28% of cases, the endometrioma is bilateral (2). […]
Endometriosis Surgery: Gastrointestinal System
Endometriosis of the gastrointestinal system accounts for 5 to 12% of deep endometriosis cases1. 90% infiltrates the rectum and the sigmoid (large bowel)2. In most cases, the patients present with severe symptoms, such as the following: dyschezia (pain on opening the bowels), haematochezia (blood in the stools), bloating and change between constipation and diarrhoea. Those […]
Endometriosis Surgery: Urinary Tract
The urinary tract is infiltrated in 14-20% of patients with deep infiltrating endometriosis1. They often coexist with other endometriosis lesions. The most common symptoms are frequent urination, pain and burning on urination, strong desire to pass urine, blood in the urine and inability to fully empty the bladder. Some patients may have no symptoms at […]
Endometriosis Surgery: Natural Orifice Specimen Extraction (NOSE)
As we saw in another article, one of the surgical management options for bowel endometriosis is the laparoscopic segmental bowel resection (removal of the affected segment of the bowel). But how is the actual specimen removed? Classically, a small incision below the belly button is required to remove the specimen. Although this incision is smaller […]
The need for specialist Endometriosis surgeons
Η ενδομητρίωση είναι μια νόσος που συχνά (και πάντα στην εν τω βάθει μορφή της) προκαλεί παραμόρφωση της φυσιολογικής ανατομίας, μέσα από την δημιουργία συμφύσεων (1). Aυτό σημαίνει πως, τόσο η ίδια η νόσος, όσο και κάθε απόπειρα λαπαροσκοπικής αφαίρεσης των εστιών ενδομητρίωσης, μπορεί να θέσει σε κίνδυνο όργανα όπως το έντερο, την ουροδόχο κύστη, […]
Holistic management of Endometriosis
The focus in the modern management of endometriosis, in the recent years, has been shifted towards the creation of teams of healthcare professionals with expertise in the management of the disease, in a patient-centred approach1. Although each endometriosis centre may have a different team structure, we suggest a team that consists of an endometriosis surgeon, […]