Diaphragmatic Endometriosis: Multidisciplinary Treatment.
Details
Serval ID
serval:BIB_B551721DA490
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Diaphragmatic Endometriosis: Multidisciplinary Treatment.
Journal
Journal of minimally invasive gynecology
ISSN
1553-4669 (Electronic)
ISSN-L
1553-4650
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
26
Number
3
Pages
404
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Video-Audio Media
Publication Status: ppublish
Publication Status: ppublish
Abstract
To demonstrate a safe laparoscopic procedure for diaphragmatic infiltrative endometriosis.
Video case SETTING: Teaching hospital (Canadian Task Force classification III).
One patient presenting deep and severe diaphragmatic endometriosis.
Laparoscopic cure of diaphragmatic endometriosis.
Throughout this video, which was approved by the institutional board review, we demonstrate safe and complete surgical treatment of a patient suffering severe pelvic and diaphragmatic endometriosis. The patient complained of menstrual dyspnea and shoulder pain persisting despite hormonal treatment, associated with persistent dyspareunia and pelvic pain despite a previous laparoscopic surgery. Patient positioning and anesthesia were adapted to the special requirements of the surgical technique and the expected risks. The operation consisted of the exposure of the right diaphragm by mobilization of the liver, CO <sub>2</sub> laser vaporization of left and right diaphragmatic lesions, nerve-sparing excision of infiltrating nodules, and pleural exploration. Finally, we performed an excision of pelvic endometriosis. Participation of 3 surgical teams to this procedure allowed a safe and complete laparoscopic treatment with resolution of pain symptoms at a 1- and 3-month follow-up.
Laparoscopic treatment allows a safe and complete treatment of diaphragmatic endometriosis.
Video case SETTING: Teaching hospital (Canadian Task Force classification III).
One patient presenting deep and severe diaphragmatic endometriosis.
Laparoscopic cure of diaphragmatic endometriosis.
Throughout this video, which was approved by the institutional board review, we demonstrate safe and complete surgical treatment of a patient suffering severe pelvic and diaphragmatic endometriosis. The patient complained of menstrual dyspnea and shoulder pain persisting despite hormonal treatment, associated with persistent dyspareunia and pelvic pain despite a previous laparoscopic surgery. Patient positioning and anesthesia were adapted to the special requirements of the surgical technique and the expected risks. The operation consisted of the exposure of the right diaphragm by mobilization of the liver, CO <sub>2</sub> laser vaporization of left and right diaphragmatic lesions, nerve-sparing excision of infiltrating nodules, and pleural exploration. Finally, we performed an excision of pelvic endometriosis. Participation of 3 surgical teams to this procedure allowed a safe and complete laparoscopic treatment with resolution of pain symptoms at a 1- and 3-month follow-up.
Laparoscopic treatment allows a safe and complete treatment of diaphragmatic endometriosis.
Keywords
Adult, Combined Modality Therapy/methods, Diaphragm/surgery, Dyspareunia/surgery, Endometriosis/surgery, Female, Humans, Laparoscopy/methods, Laser Therapy/methods, Lasers, Gas/therapeutic use, Muscular Diseases/surgery, Pelvic Floor Disorders/surgery, Pelvic Pain/surgery, CO(2) laser surgery, Diaphragmatic endometriosis, Multidisciplinary treatment
Pubmed
Web of science
Open Access
Yes
Create date
15/09/2023 12:24
Last modification date
27/09/2023 6:19
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