Laparoscopic management of peritoneal endometriosis, endometriotic cysts, and rectovaginal adenomyosis.
Peritoneal endometriosis is probably caused by the implantation of regurgitated menstrual cells. The ovarian endometrioma is the consequence of non-hormone-regulated bleeding from intraovarian epithelial inclusions after they have undergone metaplasia into endometrial-like tissue. Rectovaginal adenomyosis is, in fact, an adenomyotic lesion and can develop from Müllerian rests. In conclusion, peritoneal endometriosis, ovarian endometriosis, and rectovaginal adenomyotic nodules must be considered as three separate entities with different pathogeneses that require a different therapeutic approach.
Donnez
Jacques
J
Department of Gynecology, Université Catholique de Louvain, Cliniques Universitaires St Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium. donnez@gyne.ucl.ac.be
Smets
Mireille
M
Jadoul
Pascale
P
Pirard
Celine
C
Squifflet
Jean
J
D000328:Adult; D003560:Cysts / Q000175:diagnosis / Q000601:surgery*; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010049:Ovarian Diseases / Q000175:diagnosis / Q000601:surgery*; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000601:surgery*; D011379:Prognosis; D012002:Rectal Diseases / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014623:Vaginal Diseases / Q000175:diagnosis / Q000601:surgery*