Endometriosis Pain Management: a Review
| Autor: | Cho Yonghee, Tarek Khader, David Lam, Nalini Vadivelu, Daniel Carlyle, Devina Shiwlochan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Ovariectomy medicine.medical_treatment Pain medicine Endometriosis Pain Hysterectomy 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine Humans Medical diagnosis Danazol business.industry Oophorectomy Neurectomy General Medicine medicine.disease Ablation Denervation Surgery Treatment Outcome Anesthesiology and Pain Medicine Female Neurology (clinical) business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Current Pain and Headache Reports. 24 |
| ISSN: | 1534-3081 1531-3433 |
| DOI: | 10.1007/s11916-020-00884-6 |
| Popis: | The purpose of this review is to summarize the up-to-date pain management options and recommendations for the challenging disease, endometriosis. The mainstays of endometriosis advances of both surgical and medical management continue to evolve. Experimental pharmaceuticals include Gestirone, and aromatase inhibitors have shown promise but are still under scrutiny. Surgical techniques include laparoscopic uterosacral nerve ablation/resection and presacral neurectomy. No studies have directly compared medical versus surgical management, and as such, no one treatment modality can be recommend as superior to the other. Patients may initially be given a medical diagnosis and treated with nonsteroidal anti-inflammatory drugs, neurolepitcs, OCP, GNRH agonists/antagonists, and Danazol. Assessing the success of these regimens has proved difficult. Surgical management relies on various methods including excision/ablation of the lesions, nerve ablation, neurectomy, hysterectomy, and oophorectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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