[A case of postoperative uterine endometriosis].
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Objective To investigate the clinical efficacy of laparoscopic minimally invasive surgical treatment in patients with endometriosis.Methods Retrospective analysis of hospital from 2009 to 2011 were treated 106 cases of uterine en dometriosis in patients with clinical data.Results All patients with postoperative wound healed,patients were followed up for 3 to 18 months,the symptoms completely disappeared,the wound without obvious symptoms,no recurrence.Conclusion Laparoscopic clear the efficacy of the minimally invasive treatment of uterine endometriosis,fewer side effects,rapid postoperative recovery,and worthy of extensive promotion and application.
Invasive surgery
Clinical efficacy
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Endometriosis is a painful disorder that most commonly causes dysmenorrhea and pelvic pain. It is defined as endometrial glands and stroma that occur outside of the uterus. Typically the lesions are located and contained within the pelvic cavity, however it can occur at multiple sites throughout the body. Here is a 28-year-old female who presents to an outpatient family medicine clinic with endometriosis of her umbilicus. CT scan revealed a 2-cm mass protruding continually through the umbilical stalk. The mass was then resected and pathology confirmed it to be consistent with endometriosis. Umbilical endometriosis is a rather rare finding, but still likely. This case presents differently due to the fact that the patient has never had a previous history of endometriosis or associated symptoms. The most likely suspected mechanism of the umbilical endometriosis would be the laparoscopic cholecystectomy done one year prior.
Uterine cavity
Navel
Pelvic cavity
Outpatient clinic
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Clinicopathologic finding are presented from 17 cases of scar endometriosis studied over a 5-year period. Multiparous women in the third decade of life were most frequently affected. Seventy-one percent of the cases followed abdominal hysterotomy, for a 1.08% incidence of scar endometriosis in the patients who underwent hysterotomy during this period. The most common symptom was painful swelling of the scar which waxed and waned with menses. The majority of patients presented from 1 to 2 years after the precipitating operation. Associated pelvic endometriosis was present in 24% of the patients. Therapy with oral progestogen was ineffective, and the treatment of choice was clearly surgical excision. The causal relationship between surgery and subsequent scar endometriosis is discussed. Methods of prevention are suggested.
Hysterotomy
Progestogen
Danazol
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Presentation (obstetrics)
Abdominal hysterectomy
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Pelvic endometriosis
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Objective To observe the clinical curative effects of laparoscopic in the treatment of endometriosis. Methods Clinical data of diagnosis and surgery of 240 patients uterine endometriosis was retrospective analyzed. Results The operative time, intraoperative blood loss, hospital stay, postoperative complications and recurrence rate in the laparoscopic group were lower than those in the laparotomy group(P 0.05). Conclusion Laparoscopic treatment of endometriosis is safe and effective. It should be used widely in clinical care.
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Objective:To investigate the necessity of pharmacotherapy in the treatment of endometriosis of pelvis after surgery and the effects of gestrinone,danadol on endometriosis after surgery.Methods:A prospective analysis was performed on 126 patients with endometriosis which confirmed by pathologic diagnosis from the 1st January 2008 to the 31st December 2009.All the patients underwent conservative surgery,all the patients were randomly divided into 3 groups:gestrinone group(42 cases),danadol group (45 cases) and control group(39 cases).The symptomatic relief rate,side effect,cumulative relapse frequencies were observed and compared.Results:Compared with the control group,the symptomatic relief rate,side effect,relapse rate were obviously increased(all P0.05).Conclusion:Laparoscopic operation combined with post operative endocrinal therapy has significant importance for decreasing relapse rate and increasing life quality with endometroiosis patients.
Pharmacotherapy
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