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  • Kirurško zdravljenje endometrioze pri neplodnih bolnicah = Surgical treatment of endometriosis in infertile patients
    Vogler, Andrej ; Ribič-Pucelj, Martina ; Tomaževič, Tomaž
    Background. Endometriosis is nowadays probably the most frequent cause of infertility or subfertility and is revecaled in approximately 30-40% of infertile women. The association between fertility ... and minimal or mild endometriosis remains unclear and controversial. Moderate and severe forms of the disease distort anatomical relations in the minor pelvis, resulting in infertility. The goals of endometriosis treatment are relief of pain symptoms,prevention of the disease progression and fertility improvement. Treatment of stages I and II endometriosis (according to the RAFS classification) may be expectative, medical or surgical. In severely forms of the disease (stage III and IV) the method of choice is surgical treatment. Combined medical and surgical treatment is justified only in cases, in which the complete endometriotic tissue removal is not possible or recurrence of pain symptoms occur. Nowadays, laparoscopic surgical treatment is the golden standard being the diagnostic and therapeutic tool during the same procedure. The aim of this study was to evaluate the fertility rate after surgical treatment of different stages of endometriosis. Patients and methods. In prospectively designed study 100 infertile women were included. The only knowncause of infertility was endometriosis. In group A there were 51 patientswith stage I and ll endometriosis, whereas in group B there were 49 patients with stage III and N of the disease. Endometriosis was diagnosed and treated laparoscopically. Endometriotic implants were removed either with bipolar coagulation or CO2 laser vaporisation, whereas adhesions were sharp orblunt dissected, and endometriomas stripped out of ovaries. Pregnancy rates were calculated for both groups of patients, and statistically compared between the groups. (Abstract truncated at 2000 characters).
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 72, supl. 2, sep. 2003, str. II-117-II-120)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2003
    Jezik - slovenski
    COBISS.SI-ID - 16666329

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    Digitalna knjižnica Slovenije - dLib.si

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