Volume 3, Issue 3 (2018)
SJMR 2018, 3(3): 147-151 |
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Saremi A, Pooladi A. Endometriosis management; A survey on medical & laparoscopic treatment. SJMR 2018; 3 (3) :147-151
URL: http://saremjrm.com/article-1-68-en.html
URL: http://saremjrm.com/article-1-68-en.html
1- “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran , Saremiat@ yahoo.com
2- “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran
2- “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran
Abstract: (6309 Views)
Aims: Laparoscopy is accepted as a golden standard method in treatment of endometriosis. The main objective of this study was to evaluate the effects of endometriosis management protocol using a combined drug-surgery treatment in various stages.
Materials & Methods: This non-experimental and interventional study was conducted on 47 patients with confirmed endometriosis in Sarem women’s hospital (Tehran, Iran) in 2011-2012. The patients were divided into 4 groups according to the endometriosis stages of I to IV. Laparoscopy surgery (electro-coagulation and the adhesions removing) was performed for all patients, and then they treated for monthly injection of GnRH analogues. The second and third laparoscopy procedures were performed after 3 and 6 months for relevant groups, respectively.
Findings: In the stage-I endometriosis group 9 (90%) patients showed complete recovery after 3 months of treatment and 1 remained case showed complete recovery after 6 months. For stage-II and stage-III groups 16 (72.7%) and 5 (50%) cases showed complete recovery after 6 months of the treatment, respectively. The remained patients of stages II and III treated with GnRH for an additional 3 months and showed complete recovery (excluding one case) after 9 months. In Stage-IV, 2 (40%) cases showed complete recovery and 3 out of 5 patients were candidate to laparotomy.
Conclusion: The patients with high stages of endometriosis require more invasive and longer treatments. The success of combined drug-surgery treatment for patients in stage-I endometriosis is possible in the course of 3 months. It requires 6 months for patients in stage-II and between 6 to 9 months for patients in stage-III for complete recovery.
Keywords: Endometriosis, Classification, Treatment Protocol, Drug Therapy, Surgery, Laparoscopy, Combinational Therapy
Article Type: Original Research |
Subject:
Reproduction
Received: 2017/04/27 | Accepted: 2017/10/7 | Published: 2018/11/22
Received: 2017/04/27 | Accepted: 2017/10/7 | Published: 2018/11/22
English Expanded Abstract [HTML 23 KB] (89 Download)
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