The Endometriosis Combined Treatment Results of the Department of Gynecology and Minimally Invasive Therapy, Na Homolce Hospital, Prague in six years period 2001 - 2007
Authors:
L. Pelíšek; V. Kempe; M. Kolrusová; D. Struppl
Authors place of work:
Oddělení gynekologie i minimálně invazivní chirurgie, Nemocnice Na Homolce, Praha, primář MUDr. Z. Zelenka
Published in the journal:
Ceska Gynekol 2008; 73(2): 125-127
Summary
Objective:
The endometriosis combined treatment optimisation on the basis of own results.
Design:
The retrospective clinical study.
Department:
Department of Gynecology and Minimally Invasive Therapy, Na Homolce Hospital Prague.
Methods:
The retrospective analysis of the endometriosis treatment results on the basis of subjective severity and the inspection laparoscopy objective determination including work-up and imaging examinations.
Results:
Out of 586 patients, who underwent endometriosis combined (surgical and medicamentous) treatment, there were 91% of patients with no subjective severity with normal inspection laparoscopy determination in area of lesser pelvis.
Conclusion:
91% of treatment success entitles us to consider that our method of the endometriosis treatment is an option for future. We plan a long term monitoring of patients after restore to health within a period of years and percentage of pregnancy success, which we monitored alongside patients with the deep-infiltrating endometriosis.
Key words:
endometriosis, surgical treatment, medicamentous treatment, add-back therapy, laparoscopy
Zdroje
1. Holub, Z., Kužel, D., a kol. Minimálně invazivní operace v gynekologii. Praha: Grada, Avicenum, 2005, s.54-66.
2. Jones, KD., Sutton, C. Patient satisfaction and changes in pain scores after ablative laparoscopic surgery for stage III.-IV. Endometriosis and endometriotic cysts. Fertil Steril, 2003, 79, p. 1086-1090.
3. Keckstein, J., Ulrich, U., Kandolf, O., et al. Laparoscopic therapy of intestinae endometriosis and the ranking of drug treatment. Zbl. Gynek., 2003, 125, p. 259-266.
4. Mára, M., Fučíková, Z. ,Kužel, D., et al. Laparoskopie při chronické pánevní bolesti – retrospektivní klinická studie. Čes Gynek, 2002, 67, s. 38-46.
5. Stratton, P., Winkel, C., Premukumar, A. Diagnostic accuracy of laparoscopy, magnetic resonance imaging, and histopatologic examination for the detection of endometriosis. Fertil Steril, 2003, 79, p. 1078-1085.
6. Valle, RF., Sciarra, JJ. Endometriosis: treatment strategies. Ann NY Acad Sci, 2003, 997, p. 229-239.
7. Vercellini, P., Aimi, G., Busacca, M. Laparoscopic uterosacral ligament resection for dysmenorrheal associated with endometriosis: results of a randomized, controlled trial. Fertil Steril, 2003, 80, p. 310-319.
8. Winkel, CA. Evaluation and management of women with endometriosis. Obstet Gynec, 2003, 102, p. 397-408.
Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineČlánok vyšiel v časopise
Czech Gynaecology
2008 Číslo 2
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