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Laparoscopic Management of Peritoneal Endometriosis, Endometriotic Cysts, and Rectovaginal Adenomyosis
Author(s) -
DONNEZ JACQUES,
SMETS MIREILLE,
JADOUL PASCALE,
PIRARD CÉLINE,
SQUIFFLET JEAN
Publication year - 2003
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1196/annals.1290.031
Subject(s) - adenomyosis , endometriosis , medicine , pelvic endometriosis , gynecology , laparoscopy , general surgery , radiology
A bstract : 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.