Diaphragmatic endometriosis minimally invasive treatment: a feasible and effective approach
| Autor: | William Kondo, Helder Ferreira, Andres Vigueras Smith, Ramiro Cabrera |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty medicine.medical_treatment Diaphragm Endometriosis Diaphragmatic breathing Natural history of disease Asymptomatic 03 medical and health sciences 0302 clinical medicine Peritonectomy Humans Minimally Invasive Surgical Procedures Medicine Patient Care Team 030219 obstetrics & reproductive medicine business.industry Fulguration General surgery Obstetrics and Gynecology medicine.disease Treatment Outcome 030220 oncology & carcinogenesis Video-assisted thoracoscopic surgery Female medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology. 41:176-186 |
| ISSN: | 1364-6893 0144-3615 |
| DOI: | 10.1080/01443615.2019.1702934 |
| Popis: | The present review aims to analyse the current data available on the feasibility, safety and effectiveness of the minimally invasive surgical (MIS) treatment of diaphragmatic endometriosis (DE). Through the use of PubMed and Google Scholar database, we conducted a literature review of all available research related to diagnosis and treatment of DE, focussed on the minimally invasive techniques. The studies were selected independently by two authors according to the aim of this review. DE is an under-diagnosed disease affecting between 0.1% and 1.5% of fertile women. It is predominantly multiple, asymptomatic and highly associated with pelvic disease in about 50-90%. MIS techniques seems to be safe, effective and feasible in tertiary advanced endometriosis centre, offering definitive advantages in terms of hospital stay, post-operative pain and return to normal activity by using several surgical techniques as hydro-dissection plus resection, laser CO2 vaporisation, electrical fulguration, Sugarbaker peritonectomy, partial (shaving) and full-thickness diaphragmatic resection. Symptoms control range from 85% to 100%, with less than 3% of conversion, peri-operative complications and recurrence rate. All cases must be performed by multidisciplinary teams including at least a gynaecologist, thoracic surgeon and anaesthetist. The lack of prospective evaluation of DE interferes with the understanding about the natural history of disease and treatment results. Therefore, the development of adequate evidence-based recommendations about diagnosis, management and follow-up is difficult at this moment. |
| Databáze: | OpenAIRE |
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