Modern views on endometriosis surgery. Literature review

Authors

DOI:

https://doi.org/10.18370/2309-4117.2021.58.45-52

Keywords:

endometriosis, endometrioma, surgical treatment of endometriosis, laparoscopy, ovarian reserve

Abstract

Endometriosis is a disease associated with the presence of tissue morphologically similar to the endometrium outside the uterine cavity and it is an important medical and social problem. Statistical analysis of the endometriosis prevalence is complicated by polymorphism of manifestations a gradual increase of symptoms and a long period of time from the first symptoms to diagnosis. Manifestations of endometriosis are chronic pain, algodismenorea, dyspareunia, decreased fertility. All these manifestations worsen the quality of life and do not allow a woman to realize her reproductive potential. The most common forms of endometriosis are superficial peritoneal endometriosis, endometrioid ovarian cysts and deep infiltrative endometriosis. Treatment tactics depends on the form and stage of disease, woman's age, presence or absence of reproductive plans, previous treatment. It is possible to use both medical and surgical methods of treatment. Surgical methods can be organ-preserving and radical. The optimal surgical approach should weigh the risks of the surgery itself and the likelihood of recurrence in the radicalism absence.
Modern techniques of surgical intervention are considered as one of the main methods of endometriosis treatment. Severe forms of endometriosis are a serious challenge for the surgical team, as chronic inflammation and adhesions alter the normal pelvis anatomy. Such operations often require the involvement of surgeons, urologists and other specialists, and the decision about final operation scope is made during the operation. Endometriosis surgery aims at the maximum possible in each case, the removal of pathological foci, which leads to relief of pain and increase the likelihood of reproductive plans. This article describes the rational scope of surgical interventions and optimal strategies for the management of patients with various forms of endometriosis. The data of international researches of efficiency of various methods of surgical interventions, influence of degree of radicalism on a disease course, probability of recurrence and quality of patient’s life are resulted.

Author Biographies

M.M. Chernyak, Uzhgorod National University; Uzhhorod City Maternity Hospital

Graduate student, Obstetrics and Gynecology Department, Medical Faculty;

obstetrician-gynecologist

О.О. Korchynska, Medical Faculty of the Uzhgorod National University

 MD, professor, Obstetrics and Gynecology Department

References

  1. Abbott, J., Hawe, J., Hunter, D., et al. “Laparoscopic excision of endometriosis: a randomized, placebo-controlled trial.” Fertil Steril 82.4 (2004): 878–84. DOI: 10.1016/j.fertnstert.2004.03.046
  2. Afors, K., Murtada, R., Centini, G., et al. “Employing Laparoscopic Surgery for Endometriosis.” Women’s Health 10.4 (2014): 431–43. DOI: 10.2217/whe.14.28
  3. Albert, L., Sinaii, N., Segars, J., et al. “Pelvic Pain Location to Surgical Findings of Endometriosis.” Hsu Information Obstetrics & Gynecology 118.2 (2011): 223–30.
  4. Alborzi, S., Hosseini-Nohadani, A., Poordast, T., Shomali, Z. “Surgical outcomes of laparoscopic endometriosis surgery: a 6 year experience.” Current Medical Research and Opinion 33.12 (2017): 2229–34.
  5. Alkatout, I., Mettler, L., Beteta, C., et al. “Combined Surgical and Hormone Therapy for Endometriosis is the Most Effective Treatment: Prospective, Randomized, Controlled Trial.” Journal of Minimally Invasive Gynecology 20.4 (2013): 473–81. DOI: 10.1016/j.jmig.2013.01.019
  6. Arcoverde, F.V.L., et al. “Surgery for Endometriosis Improves Major Domains of Quality of Life: A Systematic Review and Meta-Analysis.” Journal of Minimally Invasive Gynecology (2018). DOI: 10.1016/j.jmig.2018.09.774
  7. Asgari, Z., Rouholamin, S., Hosseini, R., et al. “Comparing ovarian reserve after laparoscopic excision of endometriotic cysts and hemostasis achieved either by bipolar coagulation or suturing: a randomized clinical trial.” Archives of Gynecology and Obstetrics 293.5 (2015): 1015–22. DOI: 10.1007/s00404-015-3918-4
  8. Bailly, E., Margulies, A.-L., Letohic, A., et al. “Evolution of symptoms and quality of life of patients after surgery of digestive endometriosis.” Gynecol Obstet Fertil 41.11 (2013): 627–34.
  9. Barri, P.N., Coroleu, B., Tur, R., et al. “Endometriosis-associated infertility: surgery and IVF, a comprehensive the rapeutic approach.” Reprod Biomed Online 21.2 (2010):179–85.
  10. Benagiano, G., Brosens, I., Donatella, L. “The history of endometriosis.” Gynecol Obstet Invest 78.1 (2014): 1–9.
  11. Collinet, P., Leguevaque, P., Neme, R.M., et al. “Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study.” Surgical Endoscopy 28.8 (2014): 2474–9.
  12. Consensus on current management of endometriosis. World Endometriosis Society. France (2011).
  13. Deguara, C.S., Pepas, L., Davis, C. “Does minimally invasive surgery for endometriosis improve pelvic symptoms and quality of life?” Current Opinion in Obstetrics and Gynecology 24.4 (2012): 241–4. DOI: 10.1097/gco.0b013e328355626f
  14. Di Guardo, F., Shah, M., Cerana, M.C., et al. “Management of women affected by endometriosis: Are we stepping forward?” Journal of Endometriosis and Pelvic Pain Disorders (2019). DOI: 10.1177/2284026519841520
  15. Dunselman, G.A.J., Vermeulen, N., Becker, C., et al. “ESHRE guideline: management of women with endometriosis.” Human Reproduction 29.3 (2014): 400–12.
  16. Falcone, T., Flyckt, R. “Clinical Management of Endometriosis.” Obstetrics & Gynecology 131.3 (2018): 557–71.
  17. Goldberg, J., Davis, A. “Extrapelvic Endometriosis.” Seminars in Reproductive Medicine 35.01 (2016): 098–101. DOI: 10.1055/s-0036-1597122
  18. Healey, M., Cheng, C., Kaur, H. “To exciseorablate endometriosis? A prospective randomized double-blinded trial after 5-year follow-up.” J Minim Invasive Gynecol 21.6 (2014): 999–1004.
  19. Kehan, S., Hughes, C., Price, T., Muasher, S. “An Update on Surgical versus Expectant Management of Ovarian Endometriomas in Infertile Women.” Biomed Research International (2015): 204792.
  20. Kho, R.M., Andres, M.P., Borrelli, G.M., et al. “Surgical treatment of different types of endometriosis: Comparison of major society guidelines and preferred clinical algorithms.” Best Practice & Research Clinical Obstetrics & Gynaecology (2018). DOI: 10.1016/j.bpobgyn.2018.01.020
  21. Kim, S., Falcone, T., Flyckt, R. “Surgical Management of Endometriosis in Patients with Chronic Pelvic Pain.” Seminars in Reproductive Medicine 35.01 (2017): 054–64. DOI: 10.1055/s-0036-1597306
  22. Kitajima, M., Dolmans, M., Donnez, O., et al. “Enhanced follicular recruitment and atresia in cortex derived from ovaries with endometriomas.” Fertil Steril 101.4 (2014): 1031–7.
  23. Kolodziej, A., Krajewski, W., Dolowy, L., Hirnle, L. “Urinary Tract Endometriosis.” Urology Journal 12.4 (2015): 2213–7.
  24. Koninck, P.R., Ussia, A., Keckstein, J., et al. “Pandora’s Box of Medical and Surgical Treatment of EndometriosisJournal of Minimally Invasive Gynecology.” Evidence-Based Medicine (2017).
  25. Maggiore, R., Venturini, P.L., Gillott, D.J., et al. “Hemostasis by bipolar coagulation versus suture after surgical stripping of bilateral ovarian endometriomas: a randomized controlled trial.” Minim Invasive Gynecol 19.6 (2012): 722–30.
  26. Meuleman, C., Tomassetti, C., D'Hoore, A., et al. “Surgical treatment of deeply infiltrating endometriosis with colorectal involvement.” Human Reproduction Update 17.3 (2011): 311–26. DOI: 10.1093/humupd/dmq057
  27. Nezhat, C., Vang, N., Tanaka, P., Nezhat, C. “Optimal Management of Endometriosis and Pain.” Obstetrics & Gynecology 134.4 (2019): 834–9.
  28. Nisolle, M., Brichant, G., Tebache, L. “Choosing the right technique for deep endometriosis.” Best Practice & Research Clinical Obstetrics & Gynaecology 59 (2019): 56–65.
  29. Raffi, F., Metwally, M., Amer, S. “The impact of excision of ovarian endometrioma on ovarian reserve: a systematic review and meta-analysis.” Journal of Clinical Endocrinology and Metabolism 97.9 (2012): 3146–54.
  30. Rimbach, S., Ulrich, U., Schweppe, K.W. “Surgical Therapy of Endometriosis: Challenges and Controversies.” Geburtshilfe Frauenheilkd 73.9 (2013): 918–23.
  31. Rizk, B., Fischer, A.S., Lotfy, H.A., et al. “Recurrence of endometriosis after hysterectomy." Facts Views Vis Obgyn 6.4 (2014): 219–27.
  32. Rolla, E. “Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment.” F1000Res 8 (2019): F1000 Faculty Rev-529. DOI: 10.12688/f1000research.14817.1
  33. Setälä, M., Härkki, P., Matomäki, J., et al. “Sexual functioning, quality of life and pelvic pain 12 months after endometriosis surgery including vaginal resection.” Acta Obstet Gynecol Scand Clinical Trial 91.6 (2012): 692–8.
  34. Sibiude, J., Santulli, P., Marcellin, L., et al. “Association of History of Surgery for Endometriosis With Severity of Deeply Infiltrating Endometriosis.” Obstetrics & Gynecology 124.4 (2014): 709–17.
  35. Singh, S.S., Suen, M.W.H. “Surgery for endometriosis: beyond medical therapies.” Fertility and Sterility 107.3 (2017): 549–54. DOI: 10.1016/j.fertnstert.2017.01.001
  36. Stones, W., Cheong, Y.C., Howard, F.M., Singh, S. “Interventions for treating chronic pelvic pain in women.” Cochrane Database of Systematic Reviews (2005). DOI: 10.1002/14651858.cd000387
  37. Takao Hidaka, Akitoshi Nakashima, Yoshiko Hashimoto, Shigeru Saito. “Effects of laparoscopic radical surgery for deep endometriosis on endometriosis-related pelvic pain.” Minimally Invasive Therapy & Allied Technologies 21.5 (2012): 355–61. DOI: 10.3109/13645706.2011.617758
  38. Tanmahasamut, P., et al. “Postoperative levonorgestrel-releasing intrauterine system for pelvic endometriosis-related pain: a randomized controlled trial.” Obstet Gynecol 119.3 (2012): 519–26.
  39. Uncu, G., Kasapoglu, I., Ozerkan, K., et al. “Prospective assessment of the impact of endometriomas and their removal on ovarian reserve and determinants of the rate of decline in ovarian reserve.” Hum Reprod 28.8 (2013).
  40. Wattiez, A., Puga, M., Albornoz, J., Faller, E. “Surgical strategy in endometriosis.” Best Pract Res Clin Obstet Gynaecol 27.3 (2013): 381–92.
  41. Zanelotti, A., DeCherney, A.H. “Surgery and Endometriosis.” Clin Obstet Gynecol 60.3 (2017): 477–84.

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Published

2021-05-27

How to Cite

Chernyak, M., & Korchynska О. (2021). Modern views on endometriosis surgery. Literature review. REPRODUCTIVE ENDOCRINOLOGY, (58), 45–52. https://doi.org/10.18370/2309-4117.2021.58.45-52

Issue

No. 58 (2021)

Section

Gynecology

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Copyright (c) 2021 М.М. Черняк, О.О. Корчинська

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