Diaphragmatic endometriosis minimally invasive treatment: a feasible and effective approach

Smith, Andres Vigueras; Cabrera, Ramiro; Kondo, William; Ferreira, Hélder

doi:10.1080/01443615.2019.1702934

Cited by 14 publications

(6 citation statements)

References 36 publications

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“…Carbon dioxide laser and ABC have been proposed as alternative treatments for superficial diaphragmatic lesions. Because carbon dioxide laser has a smaller depth of penetration and smaller thermal spread than bipolar electrocoagulation, this approach may reduce the risk of local ischemia and tissue necrosis ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Phrenic nerve paralysis after bipolar electrocoagulation of endometriosis of the diaphragm: case report and mini review

et al. 2022

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Section: Discussionmentioning

confidence: 99%

Phrenic nerve paralysis after bipolar electrocoagulation of endometriosis of the diaphragm: case report and mini review

et al. 2022

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“…Even though it is uncommon and usually asymptomatic, diaphragmatic endometriosis can be incapacitating for some patients ( Nezhat et al, 2019 ). Medical treatment is an option, however patients often need surgical management due to high failure rates and secondary side effects of medical treatment ( Smith et al, 2021 ). Different surgical approaches such as laparotomy, laparoscopy, thoracotomy, thoracoscopy and robot-assisted laparoscopy have been described as treatment options.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Catamenial Chest Pain: Excision of diaphragmatic endometriosis during robot-assisted laparoscopic surgery

Usta¹,

Gonenc²,

Yılmaz³

et al. 2022

Facts Views Vis ObGyn

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Background: 10% of women of reproductive age are affected by endometriosis, and diaphragmatic endometriosis represents 1-1.5% of these cases. Diaphragmatic endometriotic lesions often require surgical treatment. Objectives: This video aims to demonstrate the appearance of diaphragmatic endometriosis and describe our experience with robot-assisted laparoscopic excision of full thickness diaphragmatic endometriosis. Materials and Methods: The patient was a 37-year-old female with the complaint of cyclical right shoulder pain (for 1 year). She previously had caesarean section scar and umbilical endometriosis excision procedures. The magnetic resonance imaging (MRI) of the abdomen highlighted three endometriotic nodules, one of which was described as full thickness on the right hemi-diaphragm. The patient underwent a robot-assisted laparoscopic endometriosis surgery as a joint procedure between the gynaecology and general surgery teams. The falciform ligament was completely divided to obtain full views of the endometriotic lesions on the diaphragm. Superficial diaphragmatic lesions were first excised. The larger deep nodule, which was described on the MRI, was then excised with the full thickness of diaphragm. Pleural cavity was entered intentionally to achieve complete excision of the nodule. Laparoscopic assessment of the right lower pleural cavity through this opening did not show any endometriotic lesions. After the excision, the diaphragm was repaired with a barbed suture. Negative pressure suction of the pleural cavity was performed at the end of this repair instead of using a chest tube. Results: The patient was discharged on the 3rd day with no complications encountered. Histopathological examination confirmed endometriosis. The patient was asymptomatic three months after surgery. Conclusion: Robotic-assisted surgery is an easy and safe choice especially in such challenging dual compartment surgeries by providing a 3D view that abolishes sensory loss and increases depth perception, providing better manoeuvrability with tremor absence.

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“…The prevalence of endometriosis is estimated to be 10%-15% with 0.1%–1.5% having diaphragmatic endometriosis. [ 1 ] For some patients, the depth required for complete excision of the endometriotic lesions may cause a diaphragmatic injury leading to an iatrogenic pneumothorax,[ 2 ] which occurred with our patient.…”

Section: S Ettingmentioning

confidence: 99%

Treatment of Iatrogenic Pneumothorax during Resection of Diaphragmatic Endometriosis using a Laparoscopic Suction Irrigator: A Simple Approach

Singh

Dejenie

Behbehani

et al. 2023

Gynecology and Minimally Invasive Therapy

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Diaphragmatic endometriosis minimally invasive treatment: a feasible and effective approach

Cited by 14 publications

References 36 publications

Phrenic nerve paralysis after bipolar electrocoagulation of endometriosis of the diaphragm: case report and mini review

Phrenic nerve paralysis after bipolar electrocoagulation of endometriosis of the diaphragm: case report and mini review

Surgical Treatment of Catamenial Chest Pain: Excision of diaphragmatic endometriosis during robot-assisted laparoscopic surgery

Treatment of Iatrogenic Pneumothorax during Resection of Diaphragmatic Endometriosis using a Laparoscopic Suction Irrigator: A Simple Approach

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