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Jerome D.,Reproductive Specialty Center | Jerome D.,University of Nice Sophia Antipolis | Elizabeth B.,Reproductive Specialty Center | Grace J.,Reproductive Specialty Center | Charles K.,Reproductive Specialty Center
Asian Pacific Journal of Reproduction | Year: 2012

Objective: To study operative findings for infertile patients with preoperative diagnosis of hydrosalpinges and determine if the ease of hysteroscopic female sterilization may lead to iatrogenic sterility. Methods: Retrospective data, from January 1998 through January 2008, were collected in a fertility center to determine the diagnostic and therapeutic results of laparoscopic surgery for infertile patients with preoperative diagnosis of hydrosalpinges. Results: There were 103 women who would have received hysteroscopic sterilisation based on preoperative imaging, but did not require this and had their fallopian tubes saved through correct laparoscopic assessment (7 patients with patent tubes) or laparoscopic surgical treatment (16 patients, only, requested bilateral salpingectomy). Conclusions: Occluding fallopian tubes on the basis of the hysterosalpingography findings only would result in unnecessary sterilizations. © 2012 Hainan Medical College. Source

Vanhie A.,University Hospital Leuven | Meuleman C.,University Hospital Leuven | Tomassetti C.,University Hospital Leuven | Timmerman D.,University Hospital Leuven | And 32 more authors.
Human Reproduction | Year: 2016

STUDY QUESTION Which essential items should be recorded before, during and after endometriosis surgery and in clinical outcome based surgical trials in patients with deep endometriosis (DE)? SUMMARY ANSWER A DE surgical sheet (DESS) was developed for standardized reporting of the surgical treatment of DE and an international expert consensus proposal on relevant items that should be recorded in surgical outcome trials in women with DE. WHAT IS KNOWN ALREADY Surgery is an important treatment for symptomatic DE. So far, data have been reported in such a way that comparison of different surgical techniques is impossible. Therefore, we present an international expert proposal for standardized reporting of surgical treatment and surgical outcome trials in women with DE. STUDY DESIGN, SIZE, DURATION International expert consensus based on a systematic review of literature. PARTICIPANTS/MATERIALS, SETTING, METHODS Taking into account recommendations from Consolidated Standards of Reporting Trials (CONSORT), the Innovation Development Exploration Assessment and Long-term Study (IDEAL), the Initiative on Methods, Measurement and Pain Assessment in Clinical trials (IMMPACT) and the World Endometriosis Research Foundation Phenome and Biobanking Harmonisation Project (WERF EPHect), a systematic literature review on surgical treatment of DE was performed and resulted in a proposal for standardized reporting, adapted by contributions from eight members of the multidisciplinary Leuven University Hospitals Endometriosis Care Program, from 18 international experts and from audience feedback during three international meetings. MAIN RESULTS AND THE ROLE OF CHANCE We have developed the DESS to record in detail the surgical procedures for DE, and an international consensus on pre-, intra- and post-operative data that should be recorded in surgical outcome trials on DE. LIMITATIONS, REASONS FOR CAUTION The recommendations in this paper represent a consensus among international experts based on a systematic review of the literature. For several items and recommendations, high-quality RCTs were not available. Further research is needed to validate and evaluate the recommendations presented here. WIDER IMPLICATIONS OF THE FINDINGS This international expert consensus for standardized reporting of surgical treatment in women with DE, based on a systematic literature review and international consensus, can be used as a guideline to record and report surgical management of patients with DE and as a guideline to design, execute, interpret and compare clinical trials in this patient population. STUDY FUNDING/COMPETING INTEREST(S) None of the authors received funding for the development of this paper. M.A. reports personal fees and non-financial support from Bayer Pharma outside the submitted work; H.T. reports a grant from Pfizer and personal fees for being on the advisory board of Perrigo, Abbvie, Allergan and SPD. TRIAL REGISTRATION NUMBER N/A. © 2016 The Author 2016. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. Source

Avellanet Y.R.,Reproductive Specialty Center | Koh C.,Reproductive Specialty Center
Journal of Gynecologic Surgery | Year: 2011

Background: This is the first reported case, to our knowledge, of multifocal endometriosis associated with primary infertility, involving the abdominal wall, the bowel, and the pelvis. Case: A 38-year-old nulligravid female with no prior abdominopelvic surgical history and a history of primary infertility; central dysmenorrheal; dyspareunia; dyschezia associated with nausea, bloating, indigestion, and constipation; a right upper quadrant (RUQ) lump; and cyclic RUQ and periumbilical pain was evaluated with findings of a palpable RUQ mass of approximately 3cm to the right of the umbilicus. A magnetic resonance imaging scan and ultrasonography revealed the presence of a mass consistent with an abdominal-wall endometrioma. Laparoscopy revealed multifocal endometriosis, including the areas of the right abdominal wall, ileum, appendix, cecum, perirectum, anterior rectum, periureter, bladder, distal vagina, and ovarian endometrioma. The patient underwent radical excision of all endometriosis identified, including the abdominal-wall endometrioma with mesh repair, bowel resection with anastomosis, and ovarian cystectomy. Results: The patient was discharged from the hospital on the 6th postoperative day uneventfully. Conclusions: Given that the diagnosis of subcutaneous endometriosis without any prior surgical procedures is rarely encountered, endometriosis should be included in the differential diagnosis of masses of the abdominal wall in patients reporting cyclic pain symptoms corresponding to menses and infertility. © Copyright 2011, Mary Ann Liebert, Inc. Source

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