Practice bulletin no. 114: management of endometriosis.
Posted By Obstetrics and Gynecology on June 26, 2010
Authors:
PMID: 20567196 [PubMed - in process] (Source: Obstetrics and Gynecology)
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[Treatment of endometriosis with laparoscopic surgery today.]
Posted By Orvosi Hetilap on June 25, 2010
Authors: Berkes E, Bokor A, Rigó J
Surgical treatment of endometriosis aims to remove all visible areas of pelvic endometriosis and restore anatomy by division of adhesions, as well as relieve painful symptoms. In this paper, we summarize the advantages, disadvantages, and efficacy of different laparoscopic surgical procedures in the treatment of endometriosis-associated pelvic pain and infertility. Modern endometrial surgery primarily involves laparoscopy, while indication of previously widespread laparotomy has been restricted to special cases. Surgery for the treatment of peritoneal endometriosis includes several options: electrocoagulation, laser ablation, or excision of the lesions, all of which have similar efficacy in the therapy of endometriosis-associated pelvic pain and in…
Endometriosis and infertility
Posted By Journal of Assisted Reproduction and Genetics on June 25, 2010
Abstract Endometriosis is a debilitating condition characterized by high recurrence rates. The etiology and pathogenesis remain unclear.
Typically, endometriosis causes pain and infertility, although 20–25% of patients are asymptomatic. The principal aims of
therapy include relief of symptoms, resolution of existing endometriotic implants, and prevention of new foci of ectopic endometrial
tissue. Current therapeutic approaches are far from being curative; they focus on managing the clinical symptoms of the disease
rather than fighting the disease. Specific combinations of medical, surgical, and psychological treatments can ameliorate
the quality of life of women with endometriosis. The benefits of these treatments have not been entirely demonstrated, particularly
in term…
ACOG Bulletin Discusses Role of GnRH Agonists in Endometriosis Tx (CME/CE)
Posted By MedPage Today OB/GYN on June 25, 2010
Although recommended for short-term pain relief in endometriosis, gonadotropin-releasing hormone (GnRH) agonist treatment has high pain recurrence rates after discontinuation, according to a bulletin from the American College of Obstetricians and Gynecologists. (Source: MedPage Today OB/GYN)
Updated Recommendations for Endometriosis Released
Posted By Modern Medicine on June 24, 2010
Women who suffer from endometriosis-related pain should be treated first with conservative,
non-surgical approaches and then with more invasive options if pain does not resolve, and hysterectomy only as a
last resort, according to a practice bulletin issued by the American College of Obstetricians and Gynecologists and
published in the July issue of Obstetrics & Gynecology. (Source: Modern Medicine)
Lymphocytes in Endometriosis
Posted By American Journal of Reproductive Immunology on June 23, 2010
Osuga Y, Koga K, Hirota Y, Hirata T, Yoshino O, Taketani Y. Lymphocytes in Endometriosis. Am J Reprod Immunol 2010. Endometriosis is a disease characterized by the presence of endometriotic tissue outside the uterine cavity. Although its pathogenesis remains to be elucidated, immune status is suggested to play an important role in the initiation and the progression of the disease. In particular, immune cells in lymphoid lineage that comprised T and B lymphocytes and natural killer cells play essential roles in determining either accept or reject survival, implantation, and proliferation of endometrial and endometriotic cells. Numerous studies have shown aberrant functions of these immune cells in women with endometriosis. The abnormalities include reduced activity of cytotoxic T cells and …
Review: Endometriosis
Posted By NeLM - News on June 23, 2010
Source: New England Journal of Medicine
Area: News
This review of endometriosis begins with a case vignette followed by a discussion of the following topics and ends with the author’s clinical recommendations on the management of the case presented:
. Evaluation
. Diagnosis and clinical staging
. Pain management
. Medical therapy
. Surgical therapy
. Adjunctive medical therapy
. Management of infertility
. Areas of uncertainty
. Guidelines (Source: NeLM – News)
Endometriosis Management Reviewed
Posted By Medscape General Surgery Headlines on June 23, 2010
A review offers recommendations for evaluation and treatment of endometriosis and associated pelvic pain and infertility. Medscape Medical News (Source: Medscape General Surgery Headlines)
Pain Management Of Endometriosis: Conservative Approach Is First-Line Treatment
Posted By Health News from Medical News Today on June 23, 2010
Ob-gyns recommend conservative nonsurgical treatment approaches for treating women with endometriosis-associated pain followed by more invasive procedures if these fail to alleviate pain, according to a newly updated Practice Bulletin published in the July issue of The American College of Obstetricians and Gynecologists’ journal, Obstetrics & Gynecology. The Practice Bulletin “Management of Endometriosis” includes the latest recommendations on the incidence, diagnosis, and treatment of this common gynecologic health condition… (Source: Health News from Medical News Today)