Article
Medicine, General & Internal
Antoine Naem, Argyrios Andrikos, Alin Stefan Constantin, Michael Khamou, Dimitrios Andrikos, Antonio Simone Lagana, Rudy Leon De Wilde, Harald Krentel
Summary: Diaphragmatic endometriosis is a rare condition that accounts for a small percentage of all endometriosis cases. This study retrospectively analyzed the patient characteristics and long-term treatment outcomes of 23 diaphragmatic endometriosis patients. The majority of patients had coexisting deep pelvic endometriosis. The study found that treatment led to significant improvement in symptoms, but patients who received postoperative hormonal therapy had higher rates of chest, abdominal, and shoulder pain. Therefore, the study recommends treating symptomatic patients only.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, Research & Experimental
Scott C. Mackenzie, Jacqueline Stephen, Linda Williams, Jane Daniels, John Norrie, Christian M. Becker, Dominic Byrne, Ying Cheong, T. Justin Clark, Kevin G. Cooper, Emma Cox, Ann M. Doust, Priscilla Fernandez, Jeremy Hawe, Tom Holland, Lone Hummelshoj, Louise J. Jackson, Kathleen King, Abha Maheshwari, Dan C. Martin, Lauren Sutherland, Jim Thornton, Katy Vincent, Sanjay Vyas, Andrew W. Horne, Lucy H. R. Whitaker
Summary: This study aims to determine the effectiveness of surgical removal of isolated superficial peritoneal endometriosis (SPE) for the management of endometriosis-associated pain. A multi-centre trial will be conducted, with 400 participants from up to 70 National Health Service Hospitals in the UK. The primary outcome will be the pain domain score of the Endometriosis Health Profile-30 (EHP-30) at 12 months.
Article
Obstetrics & Gynecology
Martin D. Laguerre, Brittany J. Arkerson, Matthew A. Robinson, Nash S. Moawad
Summary: This study found that laparoscopic surgery is an effective management tool for treating endometriosis, with low rates of reoperation and high efficacy in treating infertility caused by endometriosis.
JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2022)
Review
Biochemistry & Molecular Biology
Soo Youn Song, Ye Won Jung, WonKyo Shin, Mia Park, Geon Woo Lee, Soohwa Jeong, Sukjeong An, Kyoungmin Kim, Young Bok Ko, Ki Hwan Lee, Byung Hun Kang, Mina Lee, Heon Jong Yoo
Summary: Endometriosis, a common gynecologic disease, often leads to various pain symptoms such as dysmenorrhea, dyspareunia, and chronic pelvic pain. Inflammatory responses, nervous system sensitization, and altered distribution of nerve fibers may contribute to chronic pain in these patients. Understanding these mechanisms is crucial in guiding treatment decisions for endometriosis-related pain symptoms.
Article
Medicine, General & Internal
Paola Ciriaco, Piergiorgio Muriana, Angelo Carretta, Jessica Ottolina, Massimo Candiani, Giampiero Negri
Summary: Menstrual-related catamenial pneumothorax (CP) can be the initial manifestation of thoracic endometriosis syndrome (TES) and pelvic endometriosis (PE). A multidisciplinary approach is crucial for optimal management of this disease.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Obstetrics & Gynecology
Nikolaos Kathopoulis, Dimitrios-Efthimios Vlachos, Konstantinos Kypriotis, Michail Diakosavvas, Ioannis Chatzipapas, Athanasios Protopapas
Summary: This article demonstrates the technique of discoid excision of bowel endometriosis followed by closure of the bowel defect using sutures. It highlights the advantages of using sutures instead of the transanal stapler, specifically in cases where the pathology is located higher than 15 cm from the anal verge or the diameter of the nodule is more than 30 mm.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2023)
Review
Obstetrics & Gynecology
Channing Burks, Mabel Lee, Michael DeSarno, Joseph Findley, Rebecca Flyckt
Summary: This systematic review and meta-analysis found no significant difference between laparoscopic excision and ablation in improving pain from minimal to mild endometriosis. Larger randomized controlled trials with longer follow-up are needed to make definitive conclusions on this topic.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Adrian Zegrea, Emilia Ojala, Pia Suvitie, Pirita Varpe, Heikki Huhtinen, Johanna Makela-Kaikkonen, Tero Rautio, Paivi Harkki, Sinikka Salmenkyla, Mika Ukkonen, Maija Lavonius, Tarja Pinta
Summary: This study found that sacral neuromodulation (SNM) may be an effective treatment for refractory chronic pelvic pain in women with endometriosis. Patients experienced pain reduction and improved quality of life after SNM implantation.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Obstetrics & Gynecology
Shamen Gunawardena, Uri P. Dior, Claudia Cheng, Martin Healey
Summary: This study aimed to investigate the incidence of new diagnosis of endometriosis in women aged 40 and above with previously undiagnosed pelvic pain. The research found that the likelihood of diagnosing endometriosis in women aged 40 and above was lower, recommending careful consideration of the risks and yield of surgery in this age group.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Caroline K. Heres, Noah B. Rindos, Isabel R. Fulcher, Sarah E. Allen, Nathan R. King, Shana M. Miles, Nicole M. Donnellan
Summary: The study aimed to quantify postoperative opioid use after laparoscopic surgery for endometriosis or pelvic pain, and identify patient characteristics associated with greater postoperative opioid requirements. Results showed that most patients had a lower postoperative opioid requirement than prescribed, suggesting surgeons can prescribe fewer postoperative narcotics in this population. Patients with a previous surgery for pelvic pain, self-reported chronic pelvic pain syndrome, anxiety, and depression may represent a subset of patients with increased postoperative opioid requirements.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2022)
Article
Medicine, General & Internal
Marie Timmermans, Michelle Nisolle, Geraldine Brichant, Laurie Henry, Evy Gillet, Betty Kellner, Stavros Karampelas
Summary: Chronic pelvic pain is commonly associated with additional pathologies such as adenomyosis and endometriosis. A retrospective study found that 40% of patients with associated pathologies did not experience relief from pelvic pain at the early follow-up and 32% at the 12-month follow-up after laparoscopic niche repair. Therefore, careful patient selection is important for uterine scar repair in patients with concomitant adenomyosis and endometriosis.
JOURNAL OF CLINICAL MEDICINE
(2023)
Editorial Material
Obstetrics & Gynecology
Michelle R. Bennett, Anu Zavelsky, Joseph L. Hudgens
Summary: Schistosomiasis is a common cause of abdominal pain, which can overlap with symptoms of endometriosis. Operative laparoscopy aided in diagnosing schistosomiasis.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2022)
Review
Anesthesiology
Helen Gharaei, Negin Gholampoor
Summary: Endometriosis is a common chronic condition that causes chronic pelvic pain through involvement of the nervous system. Interventions such as nerve blocks and neuromodulation have shown to effectively manage endometriosis-related pain.
Article
Obstetrics & Gynecology
Carla Tomassetti, Neil P. Johnson, John Petrozza, Mauricio S. Abrao, Jon Einarsson, Andrew W. Horne, Ted T. M. Lee, Stacey Missmer, Nathalie Vermeulen, Krina T. Zondervan, Grigoris Grimbizis, Rudy Leon De Wilde
Summary: The study outlines a list of 49 terms and definitions related to endometriosis, aiming to facilitate standardization in disease description, classification, and research.
HUMAN REPRODUCTION OPEN
(2021)
Article
Obstetrics & Gynecology
Meenal Misal, Marlene Girardo, Megan N. Wasson
Summary: The majority of women undergoing surgery for endometriosis or chronic pelvic pain are satisfied with their decision, with only a small proportion reporting some level of regret. Regret was not associated with lack of patient-reported improvement, negative pathology results, hysterectomy, or surgical complications.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Editorial Material
Obstetrics & Gynecology
Uri Pinchas Dior, Martin Healey, Claudia Cheng
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2018)
Article
Obstetrics & Gynecology
Uri P. Dior, Ricardo Palma-Dias, Karen L. Reidy, Claudia Cheng, Martin Healey
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2019)
Article
Obstetrics & Gynecology
Lucy Richards, Martin Healey, Claudia Cheng, Uri Dior
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2019)
Letter
Obstetrics & Gynecology
Claudia Cheng, Martin Healey, Uri Dior
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2019)
Article
Obstetrics & Gynecology
Rachel Collings, Martin Healey, Uri Dior, Romany Erwin, Anna Rosamilia, Claudia Cheng
INTERNATIONAL UROGYNECOLOGY JOURNAL
(2020)
Editorial Material
Obstetrics & Gynecology
Christine Fenton, Charlotte Reddington, Martin Healey, Claudia Cheng
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2020)
Editorial Material
Obstetrics & Gynecology
Claudia Cheng, Alison Bryant-Smith, Glenn Hocking
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2020)
Editorial Material
Obstetrics & Gynecology
Gabriel Levin, Claudia Cheng, Martin Healey, Uri P. Dior
JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION
(2020)
Article
Surgery
Uri P. Dior, Shamitha Kathurusinghe, Claudia Cheng, Charlotte Reddington, Andrew J. Daley, Catarina Ang, Martin Healey
Article
Obstetrics & Gynecology
Shamen Gunawardena, Uri P. Dior, Claudia Cheng, Martin Healey
Summary: This study aimed to investigate the incidence of new diagnosis of endometriosis in women aged 40 and above with previously undiagnosed pelvic pain. The research found that the likelihood of diagnosing endometriosis in women aged 40 and above was lower, recommending careful consideration of the risks and yield of surgery in this age group.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Lucy Richards, Martin Healey, Claudia Cheng, Charlotte Reddington, Caitlin Robson-Hamond, Uri Dior
Summary: The study identified risk factors for conversion from gynecologic laparoscopy to open surgery, including previous history of pelvic inflammatory disease, open surgery, endometriosis, and elevated body mass index. Conversion to laparotomy was associated with higher rates of intraoperative and post-operative complications and prolonged length of stay.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Uri P. Dior, Charlotte Reddington, Claudia Cheng, Gabriel Levin, Martin Healey
Summary: The objective of this study was to compare urinary function before and after laparoscopic surgery in patients with deep endometriosis and to measure the rate of postoperative deterioration in urinary function. The results showed that bladder filling score improved after surgery, while voiding score remained unchanged. Incontinence score improved at 6 weeks after surgery but not thereafter. Patients with worse preoperative function had higher scores after surgery, while patients with initially normal function had lower scores. These findings suggest that laparoscopic surgery can improve urinary function in patients with deep endometriosis.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2022)
Article
Urology & Nephrology
Uri P. Dior, Charlotte Reddington, Claudia Cheng, Gabriel Levin, Martin Healey
Summary: The study aimed to compare the domains of sexual function before and after laparoscopic surgery for deep endometriosis (DE), finding that while sexual function improved post-surgery, dysfunction rate remained high and preoperative scores significantly affected postoperative scores.
JOURNAL OF SEXUAL MEDICINE
(2022)
Article
Obstetrics & Gynecology
Pei Qian Soh, Claudia Cheng, Charlotte Reddington, Uri P. Dior, Martin Healey
Summary: This study evaluated the management of ovarian torsion at a tertiary hospital over a ten-year period and identified the predictors of oophorectomy. The results showed that the incidence of oophorectomy was 47%, and increasing age was the main predictor for oophorectomy.
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
(2022)
Article
Obstetrics & Gynecology
Kelly van den Haspel, Charlotte Reddington, Martin Healey, Rebecca Li, Uri Dior, Claudia Cheng
Summary: In this study, 76% of patients with endometriosis used social media for health purposes. Social media users were younger, had pelvic pain for more than six months, and reported higher rates of psychosocial impact and symptoms from endometriosis. Respondents reported overall positive impacts on psychological, social, and cognitive health outcomes (76%) from social media use.
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
(2022)