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Endometriosis: Science and Practice - download pdf or read online

By Linda C. Giudice MD, Johannes L. H. Evers MD, David L. Healy

ISBN-10: 1444332139

ISBN-13: 9781444332131

ISBN-10: 1444398512

ISBN-13: 9781444398519

Written by way of an across the world famous editor staff, Endometriosis: technology and perform is a cutting-edge advisor to this strangely universal disorder. whereas no reason for endometriosis has been made up our minds, details of modern advancements are defined during this textual content, providing perception to enhance administration of signs medically or surgically. the 1st of its sort, this significant textbook integrates medical and medical knowing of this painful ailment supporting to supply larger sufferer care.

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Additional resources for Endometriosis: Science and Practice

Example text

The latter situation is typical of endometriosis, a condition that does not lend itself to a purely clinical diagnosis. This is why, before embarking on a search for who “discovered” (a better word is definitely “identified”) it, it is necessary to fix a set of criteria, first and foremost what constitutes the “essence” of endometriosis. Some favor clinical descriptions, rather than histology or pathogenesis. Knapp, for instance, believed that the first descriptions of endometriosis can be found in Theses and Dissertations published in Belgium and The Netherlands during the second half of the 17th century [1], whereas Batt believes that endometriosis was discovered when the presence of heterotopic endometrial tissue was first described, even though the conditions were all labeled “sarcomas” [2].

Using this staging system with retrospective data, a direct relationship was established between initial stage of the disease and pregnancy rates. Disease also was automatically classified as severe in the presence of an endometrioma larger than 2 cm in size. Peritubal and periovarian adhesions separated mild from moderate disease, because ovarian adhesions were recognized as having a damaging effect on fertility. Many physicians objected that this classification system had several disadvantages, because of the arbitrariness of the staging and the inability to distinguish unilateral from bilateral disease.

In 1955, Henriksen [19] presented a review of 1000 cases of proven endometriosis. The disease was diagnosed on an awareness of the possibility of its existence, a careful history and a thorough retropelvic examination. Although the disease tended to regress following castration, some patients exhibited clinical and histological evidence of continued activity following ovariectomy. Henriksen also noted a frequent involvement of the bowel and concluded that endometriosis is an important possible factor in problems affecting both the small and large bowel.

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Endometriosis: Science and Practice by Linda C. Giudice MD, Johannes L. H. Evers MD, David L. Healy


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