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Extragenital Endometriosis

VEERASWAMY, ARATHI MD*; LEWIS, MICHAEL MD*; MANN, ANDREA MPHIL; KOTIKELA, SUMATHI MD*; HAJHOSSEINI, BABAK MD*; NEZHAT, CAMRAN MD, FACOG, FACS* ‡ § ∥

Clinical Obstetrics and Gynecology: June 2010 - Volume 53 - Issue 2 - p 449-466
doi: 10.1097/GRF.0b013e3181e0ea6e
Endometriosis

In recent years, there have been significant changes in many aspects of extragenital endometriosis ranging from the epidemiology to the management of the disease. Advances in minimally invasive surgery and expansion of the field have lead to further research in management of extragenital endometriosis. As a result, treatment has shifted from medical management toward a surgical, multidisciplinary approach. Surgery for extragenital endometriosis clearly improves outcome through relief of symptoms, improved quality-of-life, increased fertility rates, and reduced recurrences. Endoscopy has a pivotal role as both a diagnostic and therapeutic tool.

*Center for Special Minimally Invasive and Robotic Surgery

Departments of Obstetrics and Gynecology

Surgery, Stanford University Medical Center, Palo Alto, California

Western University of Health Sciences, Pomona, California

§Department of Obstetrics and Gynecology, University of California, San Francisco, California

Correspondence: Camran Nezhat, MD, FACOG, FACS, Center for Special Minimally Invasive and Robotic Surgery, 900 Welch Road, Suite 403 Palo Alto, CA. E-mail: cnezhat@stanford.edu

© 2010 Lippincott Williams & Wilkins, Inc.