The clinical significance of endometriosis
In: American Journal of Obstetrics and Gynecology, Jg. 37 (1939-05-01), S. 788-797
Online
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Zugriff:
The various hypotheses regarding the etiology of endometriosis have been briefly outlined. From the manner of the distribution of the implants, the hypothesis that endometrial tissue from the uterus is carried by lymph channels to points outside the uterus presents the least objections to its explanation. The hypothesis is extremely simple, logical and entirely possible. Pelvic pain, quite definitely related to menstruation, is the principal reason the patient seeks relief. There is usually a ten-year history from the onset of the disease and the symptoms have been progressive. There are most likely two types of pain, visceral or sympathetic and somatic or spinal sensory. The latter becomes evident when the peritoneum of the cul-de-sac, lateral pelvic wall, and round ligaments is involved. Surgical treatment is either radical or conservative, depending on the extent and involvement of the lesions. If conservatice treatment is performed it is necessary to carry out such procedures as will relieve pain as well as conserve the menstrual or reproductive functions. The pain may be relieved or alleviated by complete excision of the lesions from the myometrium plus a presacral neurectomy when the lesions are limited to the uterus. Other heterotopic lesions may be attacked by complete excision where possible by the surgical loop diathermy or partial resection when lesions are located in the sigmoid or the rectovaginal septum.
Titel: |
The clinical significance of endometriosis
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Autor/in / Beteiligte Person: | Counseller, Virgil S. |
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Zeitschrift: | American Journal of Obstetrics and Gynecology, Jg. 37 (1939-05-01), S. 788-797 |
Veröffentlichung: | Elsevier BV, 1939 |
Medientyp: | unknown |
ISSN: | 0002-9378 (print) |
DOI: | 10.1016/s0002-9378(39)90059-1 |
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