A general surgeon’s opinion about surgical treatment for deeply infiltrating endometriosis
Objective. To formulate the management concept for deeply infiltrating endometriosis.Chuprynin V.D., Khilkevich E.G., Buralkina N.A., Melnikov M.V., Chursin V.V., Veredchenko A.V., Saiddanesh Sh.F.
Material and methods. The literature data available in the Pubmed search database and the results of the authors’ own clinical observations during 2010-2016 were analyzed.
Results. The paper shows a general surgeon’s role in the surgical treatment of infiltrating endometriosis. It highlights the clinical manifestations of common forms of endometriosis; preoperative examination to detect visceral lesions; surgical access and volume in view of a multidisciplinary approach; and types of possible postoperative complications.
Conclusion. Involvement of multidisciplinary groups in the examination and surgical treatment is justified by clinical and economic results and will provide a way to use radical and least invasive techniques in combination with an individual approach.
Keywords
infiltrating endometriosis
multidisciplinary approach
visceral lesions
sigmoid colon
small intestine
ureters
complications
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Received 26.08.2016
Accepted 02.09.2016
About the Authors
Chuprynin Vladimir Dmitrievich, PhD, Head of the Department of General Surgery, Research Center of Obstetrics, Gynecology, and Perinatology,Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954383575. E-mail: v_chuprynin@oparina4.ru
Khilkevich Elena Grigorevna, leading researcher of General Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954387783. E-mail: e_khilkevich@oparina4.ru
Buralkina Natalya Aleksandrovna, doctor of Medical Sciences, Senior Researcher, the second gynecological department, Research Center of Obstetrics,
Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954387833. E-mail: n_buralkina@oparina4.ru
Melnikov Mikhail Viktorovich, Candidate of Medical Sciences, Head in Clinical Work, Department of Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954387833
Chursin Vyacheslav Vladimorovich, doctor surgeon of General Surgery, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954387833. E-mail: v_chursen@oparina4.ru
Veredchenko Aleksandr Viktorovich, candidate of medical sciences, doctor surgeon of General Surgery, Academician V.I. Kulakov Research Center of Obstetrics,
Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina Str. 4. Tel.: +74954387833. E-mail: a_veredchenko@oparina4.ru
Saiddanesh Shaxrezat, Postgraduate Student, Department of Obstetrics, Gynecology, Perinatology, and, Reproductology, Faculty for Postgraduate Professional Training
of Physicians, I.M. Sechenov First Moscow State Medical University. 119991, Russia, Moscow, Bolshaya Pirogovskaya str. 2, bld. 4. E-mail: sh_ saiddanesh@oparina4.ru
For citations: Chuprynin V.D., Khilkevich E.G., Buralkina N.A., Melnikov M.V., Chursin V.V., Veredchenko A.V., Saiddanesh Sh.F. A general surgeon’s opinion about surgical treatment for deeply infiltrating endometriosis. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (4): 45-52. (in Russian)
http://dx.doi.org/10.18565/aig.2017.4.45-52
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