Robot-assisted laparoscopy for deep infiltrating endometriosis of bowel

 Robot-assisted laparoscopy for deep infiltrating endometriosis of bowel By Selma Oransay

Deep infiltrating endometriosis is characterized by lesions larger than 5 mm that penetrate the peritoneum or invade the muscular layer of adjacent organs, affecting over 20% of women with endometriosis.  Bowel involvement occurs in 5-12% of cases and may present with…

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Diagnosis and management of treatment in diaphragmatic endometriosis.

Diagnosis and management of treatment in diaphragmatic endometriosis. By Selma Oransay

Diaphragmatic endometriosis is a rare extra-pelvic type of deep endometriosis with a prevalence of 0,19% to 4,75. In symptomatic women, the symptoms are characterized by non-specific chest pain, shoulder pain, right upper quadrant abdominal pain, and pneumothorax, whereas 75% of…

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New Predictive Model Can Identify Minimal and Mild Endometriosis

New Predictive Model Can Identify Minimal and Mild Endometriosis By Özge Özkaya

Researchers from China developed a predictive model that can identify minimal and mild endometriosis in infertile women. The paper appeared in the March 2024 issue of the Journal of Minimally Invasive Gynecology. “This model would assist clinicians in screening infertile…

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Current status of non-invasive biomarkers for endometriosis

Current status of non-invasive biomarkers for endometriosis By Eylül GÜN

Laparoscopy has been the gold standard for the diagnosis of endometriosis, however, the understanding of how many people have the condition is limited because not everyone undergoes surgery. The different treatment modalities for patients with unexplained infertility and the invasiveness…

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"Transumblical single-port laparoscopy" for deep infiltrating endometriosis.

By Selma Oransay

Deep infiltrating endometriosis patients have multi-system involvements, severe pelvic adhesions, and pelvic pain. Dyspareunia, dysmenorrhea, infertility, gastrointestinal symptoms, and lower urinary tract symptoms seriously affect their quality of life. Although hormonal therapy may be the first choice for treating endometriosis,…

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Surgery for Deep Endometriosis

Surgery for Deep Endometriosis By Selma Oransay

In recent years, minimally invasive surgery has gained popularity, providing the best results in gynecologic cancers and deeply infiltrated endometriosis. With the help of a high-definition camera displayed on a TV monitor, the small structures are enlarged 4-7 times and…

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Serum Galectin-9 : A promising marker for endometriosis diagnosis

Serum Galectin-9 : A promising marker for endometriosis diagnosis By Nasuhi Engin Aydin

Dr. Jarollahi and colleagues from Iran University of Medical Sciences, Tehran have published their research on serum levels of Galectin-9 as a noninvasive marker for endometriosis in the "Journal of Reproduction & Infertility". Endometriosis imposes a great challenge in the…

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The enhanced invasiveness, migration and the development of adenomyosis: Importance of M2 macrophages

The enhanced invasiveness, migration and the development of adenomyosis: Importance of M2 macrophages By Hale Goksever Celik

Adenomyosis is the ectopic presence of endometrial stromal and glandular cells inside the myometrial tissue. Adenomyosis is diagnosed in women with gynecological problems with an incidence of 20%, although it is encountered much more frequently in hysterectomy specimens. Among many…

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Efficacy of Uterine Artery Blockage in Endometriosis Management

Efficacy of Uterine Artery Blockage in Endometriosis Management By Nasuhi Engin Aydin

Dr. Li Ma and associates from Liaoning, China have published their results of a computerized database search on the role of uterine artery embolization in endometriosis in a recent issue of the periodical “Computational Intelligence and Neuroscience”. Currently, the management…

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Would it be possible to diagnose endometriosis from a vaginal swab?

Would it be possible to diagnose endometriosis from a vaginal swab? By Nasuhi Engin Aydin

Ectopic endometrial tissues with new vessel formations in an inflammatory background have a component of mast cell-derived exosomal tRF-Leu-AAG-001 promoting inflammation and angiogenesis. This information is according to the paper published in a recent issue of the journal “BMC Women’s Health”,…

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Fertility assessment and surgical approach in endometriotic patients.

Fertility assessment and surgical approach in endometriotic patients. By Selma Oransay

The prevalence of endometriosis is around 50-70% in women with pelvic pain, and it has been reported as 50% in patients with infertility. Severe adhesive disease associated with advanced endometriosis is a cause of fertility impairment. The relationship between endometriosis…

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Planning surgery for recto-sigmoid endometriosis with 3D virtual models.

Planning surgery for recto-sigmoid endometriosis with 3D virtual models. By Selma Oransay

Efforts to reduce the high complication rate of rectosigmoid surgery in deeply infiltrated endometriosis are of great interest to gynecologists. 3D printing, currently used in various surgical specialties to support surgical planning and guide intraoperative procedures may be a way…

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Non-invasive diagnostic tools for endometriosis revisited

Non-invasive diagnostic tools for endometriosis revisited By Nasuhi Engin Aydin

Dr. Signorile and associates from the Italian Endometriosis Foundation have published the results of their retrospective study on a large cohort of endometriosis patients in a recent issue of the periodical, In Vivo. Endometriosis lacks precise scientific knowledge and this brings…

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A novel scoring tool to standardize surgical complexity for gynecologists.

A novel scoring tool to standardize surgical complexity for gynecologists. By Selma Oransay

The field of gynecologic surgery needs a more comprehensive, objective, and reproducible method for assessing and communicating surgical complexity than the current approach. Actually, there is no formal image-based system that allows surgeons to categorize and communicate the complexity of…

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Cancer invasion genes to explain invasiveness of adenomyosis

Cancer invasion genes to explain invasiveness of adenomyosis By Bahar Yuksel

Adenomyosis looks similar to endometriosis, but it is not the same. However, the invasiveness and migration patterns of both diseases have something in common. The study conducted by Guo et al. questioned whether invasiveness genes that have already been studied…

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Research Identifies New Genes That Could Be Targeted to Treat Endometriosis

Research Identifies New Genes That Could Be Targeted to Treat Endometriosis By Özge Özkaya

Researchers identified three new genes that could help understand the invasiveness of endometriosis. They also identified one new gene that could be related to the recurrence of the disease. These genes may potentially be new therapeutic targets for endometriosis. In…

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Promising potential research topic: diagnostic biomarkers for endometriosis

Promising potential research topic: diagnostic biomarkers for endometriosis By Nasuhi Engin Aydin

Dr. Toczek and collegues from the Department of Gynecology, Obstetrics and Oncological Gynecology of Medical University of Silesia in Katowice, Poland, have  published a review paper on possible diagnostic aid of cytokines in endometriosis. This review appears in May issue…

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Time for noninvasive serum markers for endometriosis diagnosis

Time for noninvasive serum markers for endometriosis diagnosis By Nasuhi Engin Aydin

Dr. Onur Guralp and associates from Germany and Turkey published their results on serum markers predicting endometriosis in the "Journal of Obstetrics and Gynaecology".   Still, in 21st-century medicine, doctors can not diagnose endometriosis using biochemical serum markers. Proposed serum markers…

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Fixing holes: prevention and treatment of complications - Jon Einarsson, MD, MPH

Fixing holes: prevention and treatment of complications - Jon Einarsson, MD, MPH By Selma Oransay

Dr. Einarsson shared his operating room video screens during his speech for discussing four major complications (ureter, bladder,  bowel, and vascular) of endometriosis surgery and the ways to repair them. Fixing the ureter damage: Endometriotic nodules may settle on the tract…

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Discrepancies between racial/ethnic groups and choice of hysterectomy procedures

Discrepancies between racial/ethnic groups and choice of hysterectomy procedures By Nasuhi Engin Aydin

Dr. Pollack and associates from Washington University, St.Louis, made multistate research regarding the patient profile in hysterectomies and published their results in the 2019 December issue of "The Journal of Minimally Invasive Gynecology". The most frequently performed nonobstetric surgery in…

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Surgical approach to rectovaginal endometriosis.

Surgical approach to rectovaginal endometriosis. By Selma Oransay

Recto-vaginal endometriosis incidence is estimated at 3.8%-37% among women with endometriosis and when it exists it's a part of deeply infiltrated endometriosis, thus advance stage endometriosis. Raimondo et al. from the Department of Obstetrics and Gynecology of the University of…

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Lipophilic Statins inhibit growth and invasiveness of human endometrial cells

Lipophilic Statins inhibit growth and invasiveness of human endometrial cells By Murat Osman

Endometriosis is a disease process whereby cells of the endometrium grow and invade structures outside of the uterus. Through recent research, it has been seen that endometriotic foci in women with endometriosis exhibit an altered phenotype that contributes to its…

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Multimodality imaging and clinicopathologic assessment of abdominal wall endometriosis

Multimodality imaging and clinicopathologic assessment of abdominal wall endometriosis By Irem Onur

Abdominal wall endometriosis is a rare clinical entity frequently diagnosed with a significant delay and easily misinterpreted despite multimodality imaging. In the study of Jaramillo-Cardoso et al. which has recently been published in the journal Abdominal Radiology, the clinical, multimodality…

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Thoracic Endometriosis Syndrome (TES): Diagnosis by cytology of pleural effusion

Thoracic Endometriosis Syndrome (TES): Diagnosis by cytology of pleural effusion By Nasuhi Engin Aydin

Parikshaa Gupta and colleagues from Chandigarh, India report a case of thoracic endometriosis diagnosed primarily by pleural fluid cytology in a most recent article at Cytopathology. A 33-year-old female presented with a long history of recurrent bouts of chest pain…

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Commentary on major developments in the pathophysiology of endometriosis

Commentary on major developments in the pathophysiology of endometriosis By Nasuhi Engin Aydin

This commentary article by Dr. Warren G. Foster, from MacMaster University, Canada that appeared at Biology of Reproduction, is highly valuable for its leading role in endometriosis research. Although endometriosis is a common disease affecting up to 10% of women,…

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No Link Found Between Vitamin D and Endometriosis

No Link Found Between Vitamin D and Endometriosis By Kasthuri Nair

Buggio et al., a group of scientists from the Ospedale Maggiore Policlinico, Universita` degli Studi in Milan, recently published a paper in the Reproductive Sciences titled “25-Hydroxyvitamin D Serum Levels and Endometriosis: Results of a Case-Control Study.” The publication sought…

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Cryoablation to Treat Abdominal Wall Endometriosis

Cryoablation to Treat Abdominal Wall Endometriosis By Murat Osman

Endometriosis of the abdominal wall (AWE) is often painful and requires hormone therapy or surgery for clinical management. Thus, non-invasive treatment options to help reduce pain and the progression of these lesions will help patients who suffer from this disease.…

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Ultrasound Ablation to Treat Endometriosis

Ultrasound Ablation to Treat Endometriosis By Murat Osman

Further Understanding: Deeply infiltrating endometriosis (DIE) often presents in the rectosigmoid colon in women with endometriosis and can be the major cause of gastrointestinal and pelvic symptoms. This preliminary study focuses on the utility of High-Intensity Focused Ultrasound (HIFU) in…

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