A general surgeon’s opinion about surgical treatment for deeply infiltrating endometriosis


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Abstract

Objective. To formulate the management concept for deeply infiltrating endometriosis. Material and methods. The literature data available in the Pubmed search database and the results of the authors’ own clinical observations during 2010-2016 were analyzed. Results. The paper shows a general surgeon’s role in the surgical treatment of infiltrating endometriosis. It highlights the clinical manifestations of common forms of endometriosis; preoperative examination to detect visceral lesions; surgical access and volume in view of a multidisciplinary approach; and types of possible postoperative complications. Conclusion. Involvement of multidisciplinary groups in the examination and surgical treatment is justified by clinical and economic results and will provide a way to use radical and least invasive techniques in combination with an individual approach.

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About the authors

Vladimir Dmitrievich Chuprynin

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_chuprynin@oparina4.ru
PhD, Head of the Department of General Surgery

Elena Grigorevna Khilkevich

Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: e_khilkevich@oparina4.ru
leading researcher of General Surgery

Natalya Aleksandrovna Buralkina

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: n_buralkina@oparina4.ru
doctor of Medical Sciences, Senior Researcher, the second gynecological department

Mikhail Viktorovich Melnikov

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Candidate of Medical Sciences, Head in Clinical Work, Department of Surgery

Vyacheslav Vladimorovich Chursin

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_chursen@oparina4.ru
doctor surgeon of General Surgery

Aleksandr Viktorovich Veredchenko

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_veredchenko@oparina4.ru
candidate of medical sciences, doctor surgeon of General Surgery

Shaxrezat F. Saiddanesh

I.M. Sechenov First Moscow State Medical University

Email: sh_ saiddanesh@oparina4.ru
Postgraduate Student, Department of Obstetrics, Gynecology, Perinatology, and, Reproductology, Faculty for Postgraduate Professional Training of Physicians

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