Thoracic Endometriosis Syndrome: Association With Pelvic Endometriosis and Fertility Status.

Autor:	Ottolina J; Gynecology Department, San Raffaele Scientific Institute, Milan, Italy. Electronic address: ottolina.jessica@hsr.it., De Stefano F; Gynecology Department, San Raffaele Scientific Institute, Milan, Italy., Viganò P; Reproductive Sciences Laboratory, Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Milan, Italy., Ciriaco P; Thoracic Surgery Department, San Raffaele Scientific Institute, Milan, Italy., Zannini P; Thoracic Surgery Department, San Raffaele Scientific Institute, Milan, Italy., Candiani M; Gynecology Department, San Raffaele Scientific Institute, Milan, Italy.
Jazyk:	angličtina
Zdroj:	Journal of minimally invasive gynecology [J Minim Invasive Gynecol] 2017 Mar - Apr; Vol. 24 (3), pp. 461-465. Date of Electronic Publication: 2017 Jan 07.
DOI:	10.1016/j.jmig.2016.12.025
Abstrakt:	Study Objective: To evaluate associations among catamenial pneumothorax, pelvic endometriosis, and fertility status. Design: Retrospective study (Canadian Task Force classification II-2). Setting: Departments of Thoracic Surgery and Obstetrics and Gynecology, San Raffaele Hospital, Milan, Italy. Patients: Sixteen females referred to the Department of Thoracic Surgery for treatment of spontaneous pneumothorax between January 2001 and January 2014 and referred to the outpatient clinic for gynecologic follow-up. Interventions: Thoracoscopy for catamenial pneumothorax and laparoscopy for pelvic endometriosis. Measurements and Main Results: Characteristics of the patients, the presence of endometriosis, and their fertility status were statistically analyzed. Pelvic endometriosis was diagnosed in 9 patients (56.3%), but 6 patients did not undergo a laparoscopic procedure to confirm or exclude the disease. Seven of the affected patients (77.8%) had stage III-IV endometriosis. Two-thirds of the patients with pelvic endometriosis who attempted conception conceived spontaneously, as did all of the patients without histopathological confirmation of endometriosis. Conclusion: Thoracic endometriosis syndrome, characterized mainly by catamenial pneumothorax, is a relevant condition in patients affected by endometriosis. However, few previous studies have analyzed this condition from a gynecologic standpoint, in terms of characteristics of endometriosis and fertility status of affected women. Our findings support the presence of a strong association between catamenial pneumothorax and pelvic endometriosis, as well as a minimal effect of catamenial pneumothorax on fertility status, even in the presence of pelvic endometriosis. (Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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