Vídeos del Mr Alvaro Bedoya-Ronga

Bilateral Endometrioma - Video Abstract - Educational

описание:

Background Many general gynaecologists are still approaching endometriomas and bilateral endometriomas as any cyst. Then they are faced with a complex case of frozen pelvis, bowel adhesions, etc. As result they are forced to do mere drainage and expose the patient to a second surgery. Discussion This lady underwent a planned surgery after few months of Prostap post endometriomas drainage. We knew we will be dealing with a frozen pelvis and the patient was counselled appropriately. This video intends to highlight some of the difficulties that set endometriomas apart from simple cysts or dermoid. Conclusions Bilateral Endometriomas – Think! 1- Frozen Pelvis- Do USS / MRI – Endometriosis referral. 2- Bowel involvement – Do USS / MRI – Endometriosis referral. 3- Need for counselling – Ovarian reserve – Fertility – Surgical complexity – Bowel/Ureters/Bladder 4- Think need for bowel Adhesiolysis 5- Think for need for Ureterolysis 6- Think need for endometriosis gynaecologist referral.