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- Title
Prise en charge de l'endométriose profonde: pour une chirurgie unique, planifiée, filiarisée et concertée.
- Authors
Madar, Alexandra; Crestani, Adrien; Nicolas-Boluda, Alba; Even, Marc; Bouaziz, Jérôme; Touboul, Cyril; Dabi, Yohann; Bendifallah, Sofiane
- Abstract
Endometriosis is defined by the presence of endometrial-like tissue (glands and stroma) outside of the uterine cavity. According to the HAS and European recommendations of ESHRE, surgery is a complementary therapeutic option whose indication becomes legitimate in response to failure of (i) medicinal therapies (hormonal and non-hormonal analgesics), (ii) supports, or AMP techniques. The main problem in practice is to define the benefit/risk of the intervention as well as possible with the patient, to specify its timing in the patient's care pathway. If various clinical situations seem easier to understand from a surgical point of view, questions remain about the number of surgeries in a patient's care pathway (particularly ovarian surgery and its consequences on the ovarian reserve), their incomplete nature or sometimes at risk of complications, which raises many issues. We propose to summarize in this work the evidence available to date in the literature related to the feasibility of excision surgery of endometriotic lesions, and to discuss its aspiration to be "unique, planned and concerted".
- Subjects
UTERUS; OVARIAN reserve; SURGICAL excision; ENDOMETRIOSIS; GLANDS; SALPINGECTOMY
- Publication
Médecine de la Reproduction, 2023, Vol 25, Issue 2, p116
- ISSN
2650-8427
- Publication type
Article
- DOI
10.1684/mte.2023.0947