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Abstract

SURGICAL MANAGEMENT OF ENDOMETRIOSIS

Alellou Firdaousse*, Azerki Meryem, Ouzaa Aziza, Bezad Rachid, Alami MH, Filali Adib and Pr Tazi

Abstract

The two laparoscopic techniques (destruction and resection) for the treatment of superficial endometriotic lesions are effective (LE2). For endometriomas of at least 3 cm in diameter, percelioscopic intraperitoneal cystectomy is superior to drainage followed by destruction of the cyst wall (LE1). Surgery to remove deep endometriosis lesions of the rectovaginal septum with or without rectal involvement allows a significant improvement in endometriosis pain (LE4). Percelioscopic partial cystectomy is technically easier for dome injury than for basal injury (LE4). Simple conservative hysterectomy exposes a high risk of pain failure (LE4). Recurrences may occur with hormone replacement therapy despite castration (LE2). The highest rates are observed in the management of deep endometriosis (LE2). These specific serious complications are part of the information to be provided to patients. It is desirable to explain that the improvement in pain is observed in nearly 80% of cases, whether complete or partial (professional consensus).

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