Derin İnfiltratif Endometriozis Cerrahisinde Vasküler Komplikasyonlar

Özet

Derin infiltratif endometriozis (DIE), pelvik organlarda derin infiltrasyonla karakterize edilen endometrial doku büyümesidir ve genellikle cerrahi müdahale gerektirir. Bu çalışma, DIE cerrahisinde karşılaşılan vasküler komplikasyonları detaylı bir şekilde incelemeyi amaçlamaktadır. Komplikasyon türleri, etiyolojik faktörler, tanı yöntemleri, yönetim stratejileri ve sonuçlar literatür verileri ışığında değerlendirilecektir. Ayrıca, cerrahi tekniklerin ve preoperatif hazırlıkların vasküler komplikasyon riskleri üzerindeki etkileri kapsamlı bir şekilde tartışılacaktır.

Deep infiltrative endometriosis (DIE) is a growth of endometrial tissue characterized by deep infiltration of pelvic organs and usually requires surgical intervention. This study aims to examine in detail the vascular complications encountered in DIE surgery. Types of complications, etiologic factors, diagnostic methods, management strategies and outcomes will be evaluated in the light of literature data. Furthermore, the effects of surgical techniques and preoperative preparations on the risks of vascular complications will be comprehensively discussed.

Referanslar

Centini G, Labanca L, Giorgi M, Martire FG, Catania F, Zupi E, Lazzeri L. The implications of the anatomy of the nerves and vessels in the treatment of rectosigmoid endometriosis. Clin Anat. 2024 Apr;37(3):270277. doi: 10.1002/ca.24059. Epub 2023 May 11. PMID: 37165994.
Scioscia M, Huscher CGS, Brusca F, Marchegiani F, Cannone R, Brasile O, Greco P, Scutiero G, Anania G, Pontrelli G. Preservation of the inferior mesenteric artery in laparoscopic nerve-sparing colorectal surgery for endometriosis. Sci Rep. 2022 Feb 24;12(1):3146. doi: 10.1038/s41598022-07237-w. PMID: 35210558; PMCID: PMC8873484.
Pivano A, Pauly V, Pirro N, Alessandrini M, Boyer L, Auquier P, Agostini A. Enhanced recovery after posterior deep infiltrating endometriosis surgery: a national study. Fertil Steril. 2022 Feb;117(2):376383. doi: 10.1016/j.fertnstert.2021.10.014. Epub 2021 Dec 20. PMID: 34949453.
Roman H, Bubenheim M, Huet E, Bridoux V, Zacharopoulou C, Daraï E, Collinet P, Tuech JJ. Conservative surgery versus colorectal resection in deep endometriosis infiltrating the rectum: a randomized trial. Hum Reprod. 2018 Jan 1;33(1):47-57. doi: 10.1093/humrep/dex336. PMID: 29194531; PMCID: PMC5850309.
Raffaelli R, Garzon S, Baggio S, Genna M, Pomini P, Laganà AS, Ghezzi F, Franchi M. Mesenteric vascular and nerve sparing surgery in laparoscopic segmental intestinal resection for deep infiltrating endometriosis. Eur J Obstet Gynecol Reprod Biol. 2018 Dec;231:214-219. doi: 10.1016/j.ejogrb.2018.10.057. Epub 2018 Nov 1. PMID: 30415128.
Quintairos RA, Brito LGO, Farah D, Ribeiro HSAA, Ribeiro PAAG. Conservative versus Radical Surgery for Women with Deep Infiltrating Endometriosis: Systematic Review and Meta-analysis of Bowel Function. J Minim Invasive Gynecol. 2022 Nov;29(11):1231-1240. doi: 10.1016/j.jmig.2022.09.551. Epub 2022 Sep 29. PMID: 36184064.
Warring SK, Cope AG, Youssef Y, VanBuren WM, Burnett TL, Langstraat CL, Behm KT, Khan Z. Excision of Deep Endometriosis of the Rectosigmoid: Individualizing Care to the Presenting Pathology. J Minim Invasive Gynecol. 2022 Sep;29(9):1037. doi: 10.1016/j.jmig.2022.06.017. Epub 2022 Jun 22. PMID: 35752391. æ

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21 Ocak 2025

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