Is the presence of deep infiltrative endometriosis underestimated in the surgical management of endometriosis?

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dc.contributor.authorArı, Sabahattin Anıl
dc.contributor.authorAkdemir, Ali
dc.contributor.authorSerin, Gürdeniz
dc.contributor.authorUlukuş, Murat
dc.contributor.authorŞendağ, Fatih
dc.date.accessioned2023-03-22T19:47:30Z
dc.date.available2023-03-22T19:47:30Z
dc.date.issued2023
dc.departmentBelirleneceken_US
dc.description.abstractObjectives:The aim of the study was to determine the presence of deep infiltrative endometriosis (DIE) in the surgical management of endometriosis.Material and methods: Operation notes and histopathological reports of women with endometriosis were retrospectively analyzed in the Ege University Hospital between 2008 and 2018. A total of 191 women with suspicious of endometriosis but without clinical signs of DIE were enrolled in the study. Laparoscopic diagnosis of DIE was compared with histopatho-logical reports. There was no histopathology before surgery. Endometriosis was suspected only based on symptoms.Results: A total of 213 lesions that were thought to be DIE were removed from 191 women with endometriosis. Among these 213 lesions, 179 specimens were reported as endometriosis and 34 lesions as fibro-adipose tissue. Forty-nine right uterosacral ligaments were excised, and endometriosis was detected in 44 out of 49 specimens. Histopathological examination of 45 left uterosacral ligaments revealed endometriosis in 35 specimens. Finally, 25 endometriotic nodules were removed from the recto-vaginal space, and 22 of these were verified as endometriosis by a pathologist. The positive predictive value of laparoscopic visualization for DIE in the group suspected of endometriosis but without any clinical findings of DIE was 84%.Conclusions: Women with the suspicious of endometriosis, qualified to surgery, because of infertility or pain, should be prudently investigated to confirm or to exclude coexistence of DIE even if no preoperative sign of DIE was observed to provide complete resection. Otherwise, DIE continues to grow, causes pain postoperatively, and complicates subse-quent surgery.en_US
dc.identifier.doi10.5603/GP.a2022.0150
dc.identifier.endpage45en_US
dc.identifier.issn0017-0011
dc.identifier.issn2543-6767
dc.identifier.issue1en_US
dc.identifier.pmid36597750en_US
dc.identifier.scopus2-s2.0-85147536338en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage41en_US
dc.identifier.urihttps://doi.org/10.5603/GP.a2022.0150
dc.identifier.urihttps://hdl.handle.net/20.500.14034/740
dc.identifier.volume94en_US
dc.identifier.wosWOS:000928471300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.journalGinekologia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectdeep infiltrative endometriosisen_US
dc.subjectendometriomaen_US
dc.subjectendometriosis surgeryen_US
dc.subjectlaparoscopyen_US
dc.subjectpelvic painen_US
dc.subjectminimal invasive surgeryen_US
dc.titleIs the presence of deep infiltrative endometriosis underestimated in the surgical management of endometriosis?en_US
dc.typeArticleen_US

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