Endometriosis Surgery

Posted On 2021-12-22 10:12:08

This special series “Endometriosis Surgery” was edited by Dr. Andrea Tinelli, from Department of Obstetrics and Gynecology, "Vito Fazzi" Hospital, Lecce, Italy.

Endometriosis is a very frequent and complex pathology, affecting many women around the world and the trend of diagnosis and treatment is constantly growing. The diagnosis often comes after a long and expensive journey, most of the times experienced with serious psychological repercussions for the woman. Women suffering from endometriosis report pain. Endometriosis is a cause of sub-fertility or infertility (30-40% of cases) and the impact of the disease is high and is related to the reduction in quality of life and to direct and indirect costs. After a very complex and varied diagnostic procedure, one often comes to having to decide on surgical treatment. Endometriosis surgery must aim at the complete elimination of all the outbreaks present, possibly preserving as much as possible the internal genital structures, i.e. the uterus, the salpinges or tubes, the ovaries and freeing the pelvis from the frequent adhesions that the disease causes to form between the organs of the female pelvis. These fibrotic adhesions and degenerations are the cause of the severe pain that the woman feels during the active phase of the disease. Surgical therapy must however tend to be conservative and sparing the pelvic innervation.

Endometriosis surgery should in fact be reserved for purely therapeutic purposes, primarily for the resolution-reduction of the associated pain symptoms and/or in case of conditions of functional impairment of organs or systems not responsive or not resolvable with medical treatment.

Endometriosis surgery can make use of many instrumental options, such as single and bipolar electricity instruments, diathermocoagulation, ultrasound instruments, various types of lasers and helium vaporizers.

Editorial on Endometriosis Surgery
Endometriosis surgery: a long controversial challenge
Andrea Tinelli

Review Article on Endometriosis Surgery
Review on endometriosis surgery
Philippe R. Koninckx, Anastasia Ussia, Jörg Keckstein, Mario Malzoni, Leila Adamyan, Arnaud Wattiez

Original Article on Endometriosis Surgery
Surgical treatment of endometriosis does not affect outcomes of IVF/ICSI patients: a retrospective single-institution experience
Stamatios Petousis, Yannis Prapas

Review Article on Endometriosis Surgery
A narrative review on the impact of nerve sparing surgery on urinary function in pelvic surgery for endometriosis
Beth Leopold, Jordan S. Klebanoff, Sara Rahman, Sofiane Bendifallah, Jean Marc Ayoubi, Gaby N. Moawad

Narrative review of hysteroscopy and endometriosis treatment
Ricardo Bassil Lasmar, Bernardo Portugal Lasmar

Endometriosis surgery in young women: a narrative review
Ertan Saridogan, Erdinc Saridogan

The #Enzian classification for the diagnosis and surgery of endometriosis: a narrative review
Jörg Keckstein, Gernot Hudelist, Philippe Koninckx, Sigrid Keckstein, Simon Keckstein

A narrative review of endometriosis surgery and infertility
Ulas Coban, Safak Hatirnaz, Uzeyir Kalkan

The series “Endometriosis Surgery” was commissioned by the editorial office, Gynecology and Pelvic Medicine without any sponsorship or funding. Andrea Tinelli served as the unpaid Guest Editor for the series.