Abstract
Assessment of Cranioplasty using Titanium mesh vs. Hydroxyapatite cement
Highlights
Endometriosis is a heterogeneous chronic disease characterised at laparoscopy by typical and atypical peritoneal lesions ranging from a single 1 mm peritoneal implant to > 10 cm ovarian endometrioma and cul de sac obliteration.(1) In women with endometriosis involving the cul de sac, the disease may progress as a deep infiltrating lesion involving the ureter, vagina and/or bowel
The results of transvaginal sonography (TVS) were shown in table 3 which include positive sliding sign which means pouch of Douglas (POD) is patent in 39 patients (78%), negative sliding sign which means POD is obliterated in 11 patients (22%), endometrioma was present in 9 patients (18%), bowel deep infiltrating endometriotic (DIE) was present in 3 cases (6%) and adenomyosis was present in 6 patients (12%)
The laparoscopic results was shown in table 4 which include patent POD in 35 patients (70%), obliterated POD in 15 patients (30%), endometrioma was present in 9 patients (18%), bowel DIE was present in 5 cases (10%) and adenomyosis was present in 8 cases (16%)
Summary
Endometriosis is a heterogeneous chronic disease characterised at laparoscopy by typical and atypical peritoneal lesions ranging from a single 1 mm peritoneal implant to > 10 cm ovarian endometrioma and cul de sac obliteration.(1) In women with endometriosis involving the cul de sac, the disease may progress as a deep infiltrating lesion involving the ureter, vagina and/or bowel. Diagnostic delays of up to eight years have been reported with endometriosis This delay is due to suboptimal clinical assessment of patients and the consideration of other differential diagnosis of chronic pelvic pain and because of the surgicopathologic requirement for a definitive diagnosis of endometriosis. Such delay pervades several aspects of a woman's quality of life and may lead to longterm impairment of organ function, in cases of DIE of the bowel or ureter(3).
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