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Multidisciplinary Treatment for Thoracic and Abdominopelvic Endometriosis
| Content Provider | Semantic Scholar |
|---|---|
| Author | Nezhat, Camran N. Paka, Chandhana Nezhat, Azadeh Beygui, Ramin E. |
| Copyright Year | 2014 |
| Abstract | BACKGROUND AND OBJECTIVES Thoracic endometriosis is a rare form of extragenital endometriosis with important clinical ramifications. Up to 80% of women with thoracic endometriosis have concomitant abdominopelvic endometriosis, yet the surgical treatment is usually performed with separate procedures. This is the largest published series of the combination of video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of abdominopelvic and thoracic endometriosis. The objectives of this series are to further evaluate the manifestations of thoracic endometriosis, assess the multidisciplinary surgical approach, and discuss our institution's protocols. METHODS This is a retrospective, institutional review board-approved case series of 25 consecutive women who underwent combined video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of abdominopelvic, diaphragmatic, and thoracic endometriosis from January 1, 2008, to September 30, 2013. All surgeries were performed at a tertiary referral center by the same primary surgeons. Data were collected by chart review. RESULTS Twenty-five patients were included, with a mean age of 37.7 years. Eighty percent of patients had catamenial chest pain, and in 40% this was their only chest complaint. Shoulder pain was noted in 40% of patients, catamenial pneumothorax in 24%, and hemoptysis in 12%. One hundred percent of patients were found to have endometriosis in the pelvis, 100% in the diaphragm, 64% in the chest wall, and 40% in the parenchyma. There were 2 major postoperative complications: 1 diaphragmatic hernia and 1 vaginal cuff hematoma. CONCLUSION Clinical suspicion and preoperative assessment are crucial in the diagnosis of thoracic endometriosis and allow for a multidisciplinary approach. The combination of video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of endometriosis optimally addresses the pelvis, diaphragm, and thoracic cavity in a single operation. |
| Starting Page | 360 |
| Ending Page | 365 |
| Page Count | 6 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://pdfs.semanticscholar.org/20d4/79ca2dc012034068094d4b2dd1349b99aec1.pdf |
| PubMed reference number | 25392636v1 |
| Alternate Webpage(s) | https://doi.org/10.4293/JSLS.2014.00312 |
| DOI | 10.4293/jsls.2014.00312 |
| Journal | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| Volume Number | 18 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Catamenial pneumothorax Chart evaluation by healthcare professional Chest Pain Chest wall structure Dental caries Diaphragmatic Hernia Endometriosis of uterus Hematoma Hematoma, Epidural, Cranial Hemoptysis Jeune thoracic dystrophy Parenchyma Patient referral Patients Postoperative Complications Protocols documentation Scientific Publication Surgical Procedures, Thoracoscopic Tertiary Care Centers Thoracic Outlet Syndrome Thoracic Surgery, Video-Assisted Thoracic cavity structure Vagina Vaginal Cuff endometriosis of ovary |
| Content Type | Text |
| Resource Type | Article |
