Laparoscopic excision of pericardial and diaphragmatic endometriosis.
Fertil Steril
; 115(3): 807-808, 2021 03.
Article
em En
| MEDLINE
| ID: mdl-33272621
ABSTRACT
OBJECTIVE:
To present a five-step approach to the laparoscopic excision of pericardial and diaphragmatic endometriosis.DESIGN:
Surgical video.SETTING:
Academic tertiary care hospital. PATIENT(S) 35-year-old nulliparous woman observed for chronic pelvic pain and infertility with a diagnosis of diaphragmatic endometriosis at a prior laparoscopy. Symptoms included severe chest pain and right shoulder tip pain, refractory to multiple medical therapies. INTERVENTION(S) Laparoscopic excision of pericardial and diaphragmatic endometriosis. MAIN OUTCOME MEASURE(S) Description of the relevant anatomy, the literature surrounding pericardial and diaphragmatic endometriosis, and the approach to the surgical intervention and postoperative care. RESULT(S) The laparoscopic excision of the full-thickness pericardial and diaphragmatic endometriotic lesions was successfully completed according to five reproduciblesteps:
upper abdominal survey, liver mobilization, excision of diaphragmatic endometriosis, intrathoracic laparoscopic exploration, and closure of the diaphragmatic defect. CONCLUSION(S) Although rare and challenging to diagnose and treat, pericardial and diaphragmatic endometriosis and its potentially debilitating symptoms can be successfully managed through a multidisciplinary and stepwise surgical intervention.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pericárdio
/
Diafragma
/
Laparoscopia
/
Endometriose
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article