CURRENT IDEAS ON MANAGEMENT TACTICS FOR PATIENTS WITH INFILTRATING ENDOMETRIOSIS


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To study current ideas on endometriosis. Subject and methods. Articles were sought using the key words: endometriosis, treatment, diagnosis, and pathogenesis in the PUBMED and Russian Science Citation Index databases. Sixty-five papers were selected after the search. Results. The only internationally recognized classification system of the American Society of Reproductive Medicine is widely used in the world. The following stage processes: attachment of endometrial cells to the mesothelial cells; penetration of endometrial cells into the mesothelium; angiogenesis in the endometrioid implants; proliferation of ectopic cells; and process involvement of inflammatory cells maintaining the development of implants are considered as the key components of the pathogenesis of endometriosis. Long-term diagnostic delay and lower quality of life have been found in women with endometriosis. The main techniques for diagnosing endometriosis were ultrasonography, magnetic resonance imaging, colonoscopy, and cystoscopy. Laboratory methods are of additional value. A combined approach involving surgical and medical treatments is a generally recognized tactic. The endometriosis recurrence rate after surgical treatment is 21-40%. Conclusion. In spite of numerous investigations and the considerable social value of the problem, there is no uniform system concept of a multidisciplinary approach to the organization and surgical treatment of patients with disseminated forms of endometriosis.

Full Text

Restricted Access

About the authors

Vladimir Dmitrievich Chuprynin

Research Center of Obstetrics, Gynecology, and Perinatology

Email: v_chuprynin@oparina4.ru
PhD, Head of the Department of General Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Mikhail Viktorovich Melnikov

Research Center of Obstetrics, Gynecology, and Perinatology

Email: m_melnikov@oparina4.ru
Candidate of Medical Sciences, Senior Researcher, Department of Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Natalya Aleksandrovna Buralkina

Research Center of Obstetrics, Gynecology, and Perinatology

Email: n_buralkina@oparina4.ru
doctor of Medical Sciences, Senior Researcher, the second gynecological department Moscow 117997, Ac. Oparina str. 4, Russia

Vyacheslav Vladimorovich Chursen

Research Center of Obstetrics, Gynecology, and Perinatology

Email: v_chursen@oparina4.ru
doctor surgeon of General Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Aleksandr Viktorovich Veredchenko

Research Center of Obstetrics, Gynecology, and Perinatology

Email: a_veredchenko@oparina4.ru
candidate of medical sciences, doctor surgeon of General Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Polina N. Burykina

Research Center of Obstetrics, Gynecology, and Perinatology

Email: p_burykina@oparina4.ru
a graduate student, obstetrician-gynecologist at the surgical department Moscow 117997, Ac. Oparina str. 4, Russia

Elena Grigorevna Khilkevich

Research Center of Obstetrics, Gynecology, and Perinatology

Email: e_khilkevich@oparina4.ru
leading researcher of General Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Alexander Iosifovich Gus

Research Center of Obstetrics, Gynecology, and Perinatology

Email: a_gus@oparina4.ru
MD, PhD, Head of the Department of the Ultrasound and Functional Diagnosis Moscow 117997, Ac. Oparina str. 4, Russia

Stanislav Vladislavovich Pavlovich

Research Center of Obstetrics, Gynecology, and Perinatology

Email: stpavlovich@mail.ru
MD, PhD, Secretary Moscow 117997, Ac. Oparina str. 4, Russia

References

  1. Rogers Р.А., D’Hooghe Т.М., FazJeabas A., Gargett С.Е., Giudice L.C., Montgomery G. W. et al. Priorities for endometriosis research: recommendations from an International Consensus Workshop. Reprod. Sci. 2009; 16(4): 335-46.
  2. Ищенко А.И., Кудрина E.A. Эндометриоз. Современные аспекты. М.: МИА; 2008. 176с.
  3. Попов A.A., Рамазанов M.P., Мананникова T.H., Федоров А.А., Краснопольская И.В., Перфильев А.Б. Хирургическая тактика при инфильтративных формах эндометриоза в репродуктивном возрасте. Российский вестник акушеоло га. 2011; 4: 63-6.
  4. Сидорова НС., Коган E.A., Унанян А.Л. Эндометриоз тела матки и яичников. М.; 2007. 30с.
  5. Исследования и ведение женщин с эндометриозом. Методические рекомендации №24. Королевский колледж акушеров и гинекологов. Великобритания. 2006. 15с.
  6. Адамян Л.В., ред. Эндометриоз: диагностика, лечение и реабилитация. Клинические рекомендации. М.; 2013. 86с.
  7. Chapron C., Bourret A., Chopin N., Dousset B., Leconte M., Amsellem- Ouazana D. et al. Surgery for bladder endometriosis: long-term results and concomitant management of associated posterior deep lesions. Hum. Reprod. 2010; 25(4): 884-9.
  8. Koninckx P, Ussia A. Centers of excellence in endometriosis surgery or «centers of excellence in endometriosis». Gynecol. Surg. 2009; 7(2): 109-11.
  9. Пучков K.B., Политова А.К. Лапароскопические операции в гинекологии. М.: Медпрактика; 2005. 211с.
  10. Ищенко А.И., Кудрина E.A. Эндометриоз. Диагностика и лечение. М.: ГЭОТАР-МЕД; 2002. 104с.
  11. Печеникова B.A., Костючек Д.Ф. Экстрагенитальный эндометриоз: клинико-морфологический и иммуногистохимический анализ 45 наблюдений различной органной локализации. Журнал акушерства и женских болезней. 2010; 59(2): 69-77.
  12. Shebl 0., Ebner T, Sommergruber M., Sir A., Tews G. Anti muellerian hormone serum levels in women with endometriosis: A case-control study. Gynecol. Endocrinol. 2009; 25(11): 713-6.
  13. WangJ., Dicken C., Lustbader J. W., Tortoriello D. V. Evidence for a Miillerian- inhibiting substance autocrine/paracrine system in adult human endometrium. Fertil. Steril. 2009; 91(4): 1195-203.
  14. Boccellino M., Quagliuolo L., Verde A., La Porta R., Crispi S., Piccolo M. T et al. In vitro model of stromal and epithelial immortalized endometriotic cells. J. Cell Biochem. 2012; 113(4): 129-301.
  15. Signorile P.G., Petraglia E, Baldi A. Anti-mullerian hormone is expressed by endometriosis tissues and induces cell cycle arrest and apoptosis in endometriosis cells. J. Exp. Clin. Cancer Res. 2014; 33: 46.
  16. Nnoaham K.E., Hummelshoj L., Webster P, d’Hooghe T, de Cicco Nardone F, de Cicco Nardone C. et al. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil. Steril. 2011; 96(2): 366-73.
  17. Радзинский B.E., ред. Руководство к практическим занятиям по гинекологии. Учебное пособие. М.: ГЭОТАР-Медиа; 2007. 600с.
  18. Wykes C.B., Gark T.J., Khan KS. Accuracy of laparoscopy in the diagnosis of endometriosis: a systematic quantitative review. BJOG: Br. J. Obstet. Gynaecol. 2004; 111(11): 1204-12.
  19. Reid S.r Lu C., Hardy N.r Casikar I., Reid G., Carlo G. et al. Office gel sono- vaginography for the prediction of posterior deep infiltrating endometriosis: a multicenter prospective observational study. Ultrasound Obstet. Gynecol. 2014; 44(6): 710-8.
  20. Mounsey A.L., WilgusA., Slawson D.C. Diagnosis and management of endometriosis. Am. Fam. Physician. 2006; 74(4): 594-600.
  21. Harada T, Kubota T, Aso T. Usefulness of CA19-9 versus CA125 for the diagnosis of endometriosis. Fertil. Steril. 2002; 78(4): 733-9.
  22. Щукина H.A., Буянова С.Н. Современный взгляд на диагностику и лечение эндометриоза. Русский медицинский журнал. Акушерство. Гинекология. Педиатрия. 2014; 14:1002-5.
  23. Kennedy S., Bergqvist A., Chapron C., D’Hooghe T, Dunselman G., Greb R. et al. ESHRE guideline for the diagnosis and treatment of endometriosis. Hum. Reprod. 2005; 20(10): 2698-704.
  24. Кулаков В.И., Адамян Л.В., Мынбаев О.А. Оперативная гинекология - хирургические энергии. М.: Антидор; 2000. 862с.
  25. DonnezJ., Pirard C. Surgical management of endometriosis. Best Pract. Res. Clin. Obstet. Gynaecol. 2004; 18(2): 329-48.
  26. Глухов Е.Ю., УраковА.В. Результаты использования аргоноплазменной коагуляции в лечении тяжелых форм генитального эндометриоза. Медицинский альманах. 2013; 6: 82-4.
  27. Fedele L., Bianchi S., Zanconato G., Bettoni G., Gotsch E Long-term followup after conservative surgery for rectovaginal endometriosis. Am. J. Obstet. Gynecol. 2004; 190(4): 1020-4.
  28. Hummelshoj L. Medical needs in endometriosis. Gynecol. Forum. 2010; 15(2): 5-7.
  29. VercelliniP, Crosignani P.G., Somigliana E., Berlanda N., Barbara G., Fedele L. Medical treatment for rectovaginal endometriosis: what is the evidence? Hum. Reprod. 2009; 24(10): 2504-14.
  30. Koch J., Rowan K, Rombauts L., Yazdani A., Chapman M., Johnson N. Endometriosis and infertility - a consensus statement from ACCEPT (Australasian CREI Consensus Expert Panel on Trial evidence). Aust. N. Z. J. Obstet. Gynaecol. 2012; 52(6): 513-22.
  31. VercelliniP, Pietropaolo G., De Giorgi O., DaguatiR., Pasin R., CrosignaniP.G. Reproductive performance in infertile women with rectovaginal endometriosis: is surgery worthwhile? Am. J. Obstet. Gynecol. 2006; 195(5): 1303-10.
  32. Donnez J., Squifflet J. Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules. Hum. Reprod. 2010; 25(8): 1949-58.
  33. Redwine D.B., Wright J.T. Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en bloc resection. Fertil. Steril. 2001; 76(2): 358-65.
  34. Roman J.D. Surgical treatment of endometriosis in private practice: cohort study with mean follow-up of 3 years. J. Minim. Invasive Gynecol. 2010; 17(1): 42-6.
  35. Laufer M.R., Sanfilippo J., Rose G. Adolescent endometriosis: diagnosis and treatment approaches. J. Pediatr. Adolesc. Gynecol. 2003; 16(3, Suppl.): S3-11.
  36. Fasciani A., Biscaldi E., Puntoni M., Binda G.A. Intestinal endometriosis: the gynaecologist, the radiologist and the colorectal surgeon as a multidisciplinary team. Pelviperineology. 2010; 29(3): 69-75.
  37. Leyland N., Casper R., LabergeP., Singh S.S.; SOGC. Endometriosis: diagnosis and management. J. Obstet. Gynaecol. Can. 2010; 32(7, Suppl, 2):Sl-32.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies