KEYNOTE: Excision Without Mutilation: It’s Possible! - Arnaud Wattiez, MD
In his keynote lecture, Dr. Wattiez talks about the pros and cons of endometriosis surgery and the importance of tailoring endometriosis surgery to individual patients. “Endometriosis is a disease that degrades patient’s wellbeing," Dr. Wattiez says and gives some examples…
Key Points Lay SummaryExploring the Role of Neuropathy in Re-Operative Endometriosis - Marc Possover, MD, PhD
Prof. Possover starts his presentation by summarizing the possible cause of pelvic neuropathy following endometriosis surgery. Pelvic neuropathy is the damage or dysfunction of the pelvic nerve. Prof. Possover explained that this could either be due to incomplete surgery, disease…
Key Points Lay SummaryOperative techniques for Deep Endometriosis Surgery - Shaheen Khazali, MD
In this presentation, Dr. Shaheen Khazali, an endometriosis surgeon specialized in gastrointestinal and urinary tract endometriosis excision and in neuropelveology, talks about the general principles and some techniques for endometriosis surgery focusing on rectovaginal endometriosis. He also describes the "ten…
Key Points Lay SummaryRole of Prophylactic Oophorectomy in Endometriosis Patients with Ovarian Cancer History in the family - Farr Nezhat, MD
Dr. Nezhat starts his presentation by outlining his objectives, which are to review the basics of cancer genetics, give an overview about endometriosis and ovarian cancer, discuss the pathogenesis of malignant transformation of endometriosis, and talk about the clinical implications…
Key Points Lay SummaryA Possible genetic target for endometriosis treatment
Mutations in the chromosome remodeling complex SWI/SNF subunit ARID1A were first identified in ovarian clear-cell carcinoma and ovarian endometrioid carcinoma, two endometriosis-associated epithelial ovarian cancer subtypes. ARID1A gene mutations are also observed in deep ovarian and deep infiltrating endometriosis, atypical endometrial…
Key Points Lay SummaryHysterolaparoscopy Plus Assisted Reproduction Improves Fertility in Women with Endometriosis
Hysteroscopy and laparoscopic surgery is an effective and reliable therapeutic procedure, confirmed a study published in the "Journal of Clinical Medicine". The approach is even more effective when combined with assisted reproductive techniques such as artificial insemination and in vitro…
Key Points Lay SummaryEndometriosis Severity and Complication Risks Following Laparoscopic Surgery
In a research article published in the journal Acta Obstetricia et Gynecologica Scandinavica, researchers at Brigham and Women's Hospital in Boston, Massachusetts suggested that the severity of endometriosis could not be a predictor of the risk of post-operative complications. In…
Key Points Lay SummaryWhat we should know in managing infertility related to endometriosis?
Dr. Llarena and associates made a comprehensive review of the causes of infertility in endometriosis and adverse effects of surgical procedures in Clinical Medicine Insights: Reproductive Health. Infertility is an important issue in endometriosis patients and about 30-50 % face infertility.…
Key Points Lay SummaryWhat do Women with Endometriosis Think About the Medical Profession?
Failure of surgical treatment, use of the emergency room, and access to complementary healthcare are factors associated with a negative perception of the medical profession in women with endometriosis. This is according to a study conducted by researchers in British…
Key Points Lay SummaryDoes the Severity of Endometriosis Increase the Risk of Complications Following Surgery?
The severity of endometriosis cannot predict the risk of complications after laparoscopy. Instead, the complexity of the surgical procedure itself may increase the risk of complications. This is according to a study published in the journal "Acta Obstetricia et Gynecologica Scandinavica".…
Key Points Lay SummaryHow to predict complications for endometriosis surgery?
In a new study co-led by scientists at Sorbonne University, a nomogram is built to better inform patients about the risk of deep endometriosis surgery without bowel involvement. The findings have been published in the European Journal of Obstetrics &…
Key Points Lay SummaryPatients with Pelvic Pain Most Likely to Benefit from Endometriosis Surgery
Women who experience higher levels of pain are more likely to show improvement in their quality of life (QoL) following endometriosis surgery, according to a study published in The Journal of Minimally Invasive Gynecology. Chronic pelvic pain seems to be…
Key Points Lay SummaryEndometriosis involving the superficial peritoneum in Adolescents: Surgical Management
Endometriosis is a chronic disease whereby endometrial glands and stroma grow and survive outside of the uterus. In some cases, endometriosis may become symptomatic and cause debilitating, chronic pelvic pain. Among pelvic organ and other surfaces that endometriosis can involve…
Key Points Lay SummaryHow to predict natural conception in women underwent endometriosis surgery?
Endometriosis is defined as the localization of endometrial glandular and stromal cells outside the uterine cavity. The most common symptoms are dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility. The prevalence of endometriosis increases in the infertile population. Thus, the important…
Key Points Lay SummaryWill I Have Complications After Endometriosis Surgery?
The rate of complications after surgery to treat deep infiltrating endometriosis is low, confirmed a study by researchers in Germany. It is important to know whether major or minor complications following surgery are likely to develop and what the outcome…
Key Points Lay SummaryIVF Is the Best Option to Become Pregnant for Women with Severe Endometriosis, or Is It Not?
Treating rectal endometriosis with surgery seems to increase the chance of a woman conceiving, with most pregnancies occurring naturally. This is according to a study published in the medical journal Human Reproduction. The optimal treatment for women with severe endometriosis…
Key Points Lay SummaryEndometrioma and endometriosis
Exacoustos C. et al. published an article titled “The isolated ovarian endometrioma: a history between myth and reality” in the Journal of Minimally Invasive Gynecology in 2018. They aimed to examine the association between ovarian endometriomas detectable at the transvaginal ultrasound…
Key Points Lay SummaryHow are endometriosis patients managed clinically?
This review paper by Falcone and Flyckt, entitled “Clinical Management of Endometriosis” published in the journal Obstetrics & Gynecology aims to summarize the current strategies for treating endometriosis patients with pain, pelvic dysfunction, and subfertility related to their disease. There are many…
Key Points Lay SummaryPrior endometriosis surgery and the risk of pregnancy complications
Koninckx et al. discussed the association of pregnancy complications with endometriosis and endometriosis surgery in their recently published paper in the journal Fertility and Sterility. They especially mentioned about the retrospective study of Nirgianakis et al. published in the same…
Key Points Lay SummaryA Doctor's Guide to Making Endometriosis Less Scary
Canis, Bourdel, and Chauvet, doctors from CHU Estaing, recently published an article titled “Endometriosis: frightening the patients is not an acceptable alternative to inadequate surgical management and or pathophysiology ignorance” in Fertility and Sterility. Their paper delineated proper health practices…
Key Points Lay SummaryHow to identify an Expert Centers for Colorectal Endometriosis Surgery
It is of paramount importance to determine set criteria to define expert centers for colorectal endometriosis surgery, according to a research article published in the scientific journal Surgical Endoscopy. As the hospital and surgeon case volume has a significant impact…
Key Points Lay SummaryBest Time for IVF Between 7 and 25 Months Post Surgery Study Suggests
The more severe endometriosis is, the lower the success rate of IVF, according to a new study published in the Journal of Minimally Invasive Gynecology. However, the presence of endometriosis as such does not seem to affect the outcome of…
Key Points Lay Summary