caa a22 4500 445363681 CHVBK 20180317142923.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s10397-010-0654-4 doi (NATIONALLICENCE)springer-10.1007/s10397-010-0654-4 Is the presence of endometrioma always associated with more severe disease? [Elektronische Daten] [M. Setälä, P. Härkki, P. Suvitie, J. Fraser, J. Jalkanen, J. Kössi, A. Perheentupa, J. Mäkinen] The aim of this prospective study was to estimate whether the presence of endometrioma was associated with more severe disease, and with operative findings that were considered to make surgery more demanding in patients with deeply infiltrating endometriosis located in the posterior fornix of the vagina. Ninety-eight patients scheduled for primary surgery underwent complete excision of all visible endometriotic lesions and adhesions by laparoscopy (86 patients, 87.8%) or by laparotomy (12 patients, 12.2%) in four hospitals specialized in the surgical treatment of endometriosis. Endometrioma was detected in 46 patients (47.0%). No statistically significant difference was detected between patients with and without an endometrioma, in the presence of six studied operative findings: total obstruction of the pouch of Douglas (28% vs. 27%, p = 0.88), attachment of a posterior deep lesion to the ureter (52% vs. 44%, p = 0.43), peritoneal endometriotic lesions (80% vs. 75%, p = 0.52), other deep lesions (24% vs. 33%, p = 0.34), attachment of bowel to the uterosacral ligament deep lesion (65% vs. 69%, p = 0.71), and attachment of the rectum to a rectovaginal deep lesion (81% vs. 84%, p > 0.99). Endometrioma did not seem to be associated with operative findings that were considered to represent more severe disease, and make surgery more demanding in patients with deep endometriotic lesions in the posterior fornix of the vagina and with no previous pelvic surgery. Springer-Verlag, 2011 Endometriosis nationallicence Endometrioma nationallicence Deeply infiltrating endometriosis nationallicence Surgery nationallicence DIE : Deeply infiltrating endometriosis nationallicence RVE : Rectovaginal endometriosis nationallicence rASRM : Revised American Society of Reproductive Medicine nationallicence BMI : Body mass index nationallicence Setälä M. Department of Obstetrics and Gynecology, Päijät-Häme Central Hospital, Lahti, Finland aut Härkki P. Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland aut Suvitie P. Department of Obstetrics and Gynecology, Turku University Hospital, P0 BOX52, 20521, Turku, Finland aut Fraser J. Department of Obstetrics and Gynecology, North Karelian Central Hospital, Joensuu, Finland aut Jalkanen J. Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland aut Kössi J. Department of Surgery, Päijät-Häme Central Hospital, Lahti, Finland aut Perheentupa A. Department of Obstetrics and Gynecology, Turku University Hospital, P0 BOX52, 20521, Turku, Finland aut Mäkinen J. Department of Obstetrics and Gynecology, Turku University Hospital, P0 BOX52, 20521, Turku, Finland aut Gynecological Surgery Springer-Verlag 8/3(2011-09-01), 299-304 1613-2076 8:3<299 2011 8 10397 https://doi.org/10.1007/s10397-010-0654-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10397-010-0654-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Setälä M. Department of Obstetrics and Gynecology, Päijät-Häme Central Hospital, Lahti, Finland aut NATIONALLICENCE 700 1- Härkki P. Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland aut NATIONALLICENCE 700 1- Suvitie P. Department of Obstetrics and Gynecology, Turku University Hospital, P0 BOX52, 20521, Turku, Finland aut NATIONALLICENCE 700 1- Fraser J. Department of Obstetrics and Gynecology, North Karelian Central Hospital, Joensuu, Finland aut NATIONALLICENCE 700 1- Jalkanen J. Department of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland aut NATIONALLICENCE 700 1- Kössi J. Department of Surgery, Päijät-Häme Central Hospital, Lahti, Finland aut NATIONALLICENCE 700 1- Perheentupa A. Department of Obstetrics and Gynecology, Turku University Hospital, P0 BOX52, 20521, Turku, Finland aut NATIONALLICENCE 700 1- Mäkinen J. Department of Obstetrics and Gynecology, Turku University Hospital, P0 BOX52, 20521, Turku, Finland aut NATIONALLICENCE 773 0- Gynecological Surgery Springer-Verlag 8/3(2011-09-01), 299-304 1613-2076 8:3<299 2011 8 10397 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer