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Titolo:
Medical and surgical therapies for pain associated with endometriosis
Autore:
Winkel, CA; Scialli, AR;
Indirizzi:
Georgetown Univ Hosp, Dept Obstet & Gynecol, Washington, DC 20007 USA Georgetown Univ Hosp Washington DC USA 20007 ol, Washington, DC 20007 USA
Titolo Testata:
JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE
fascicolo: 2, volume: 10, anno: 2001,
pagine: 137 - 162
SICI:
1524-6094(200103)10:2<137:MASTFP>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC PELVIC PAIN; LAPAROSCOPIC PRESACRAL NEURECTOMY; RANDOMIZED CONTROLLED TRIAL; HORMONE-RELEASING HORMONE; TERM FOLLOW-UP; DOUBLE-BLIND; LASER LAPAROSCOPY; MILD ENDOMETRIOSIS; LEUPROLIDE ACETATE; DEPOT LEUPROLIDE;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
116
Recensione:
Indirizzi per estratti:
Indirizzo: Scialli, AR Georgetown Univ Hosp, Dept Obstet & Gynecol, 3800 Reservoir RdNW, Washington, DC 20007 USA Georgetown Univ Hosp 3800 Reservoir Rd NW Washington DC USA 20007
Citazione:
C.A. Winkel e A.R. Scialli, "Medical and surgical therapies for pain associated with endometriosis", J WOMEN H G, 10(2), 2001, pp. 137-162

Abstract

Endometriosis is a common condition for which a number of treatments have been proposed. Medical treatments are based on the hormonal responsiveness of endometriosis implants. These therapies include progestins (with or without estrogens), androgens, and gonadotropin-releasing hormone (GnRH) analogs. Surgical treatments may include hysterectomy with oophorectomy or organ-sparing surgery involving ablation or resection of visible lesions of endometriosis and restoration of pelvic anatomy. There are no studies that directly compare the effectiveness or adverse effects of medical therapy and surgical therapy. Studies on medical therapy compare different treatments withplacebo or with other active treatments. Hormone-based therapies for endometriosis show 80%-100% effectiveness in relief of pelvic pain over a 6-month course of therapy. Serious adverse outcomes after medical therapy are unusual. Studies on surgical therapy are largely anecdotal, with noncomparative reports on a variety of surgical methods. A few comparative surgical studies have been reported. Because of the noncomparative nature of many of thesurgical studies, the use of combinations of surgical procedures and techniques in the reported studies, and the reporting of results from surgeons with an unusually high level of technical skill, the gynecological practitioner has little basis in the literature for assessing the optimum surgical approach. Surgical complications are believed to be underreported and may berelated to how aggressive a surgical procedure is undertaken.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 11:44:37