<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Seidler S</dc:creator>
  <dc:creator>Shabanov S</dc:creator>
  <dc:creator>Andres A</dc:creator>
  <dc:creator>Karenovics W</dc:creator>
  <dc:creator>Wenger JM</dc:creator>
  <dc:creator>Pluchino N</dc:creator>
  <dc:date>2019</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">STUDY OBJECTIVE
To demonstrate a safe laparoscopic procedure for diaphragmatic infiltrative endometriosis.


DESIGN
Video case SETTING: Teaching hospital (Canadian Task Force classification III).


PATIENTS
One patient presenting deep and severe diaphragmatic endometriosis.


INTERVENTION
Laparoscopic cure of diaphragmatic endometriosis.


MEASUREMENTS AND MAIN RESULTS
Throughout this video, which was approved by the institutional board review, we demonstrate safe and complete surgical treatment of a patient suffering severe pelvic and diaphragmatic endometriosis. The patient complained of menstrual dyspnea and shoulder pain persisting despite hormonal treatment, associated with persistent dyspareunia and pelvic pain despite a previous laparoscopic surgery. Patient positioning and anesthesia were adapted to the special requirements of the surgical technique and the expected risks. The operation consisted of the exposure of the right diaphragm by mobilization of the liver, CO2 laser vaporization of left and right diaphragmatic lesions, nerve-sparing excision of infiltrating nodules, and pleural exploration. Finally, we performed an excision of pelvic endometriosis. Participation of 3 surgical teams to this procedure allowed a safe and complete laparoscopic treatment with resolution of pain symptoms at a 1- and 3-month follow-up.


CONCLUSION
Laparoscopic treatment allows a safe and complete treatment of diaphragmatic endometriosis.</dc:description>
  <dc:identifier>https://sonar.ch/global/documents/169568</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jmig.2018.07.003</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/30031207</dc:relation>
  <dc:source>Journal of minimally invasive gynecology. - 2019</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">CO(2) laser surgery</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Diaphragmatic endometriosis</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Multidisciplinary treatment</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Adult</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Combined Modality Therapy</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Diaphragm</dc:subject>
  <dc:subject xmlns:ns7="xml" ns7:lang="en">Dyspareunia</dc:subject>
  <dc:subject xmlns:ns8="xml" ns8:lang="en">Endometriosis</dc:subject>
  <dc:subject xmlns:ns9="xml" ns9:lang="en">Female</dc:subject>
  <dc:subject xmlns:ns10="xml" ns10:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns11="xml" ns11:lang="en">Laparoscopy</dc:subject>
  <dc:subject xmlns:ns12="xml" ns12:lang="en">Laser Therapy</dc:subject>
  <dc:subject xmlns:ns13="xml" ns13:lang="en">Lasers, Gas</dc:subject>
  <dc:subject xmlns:ns14="xml" ns14:lang="en">Muscular Diseases</dc:subject>
  <dc:subject xmlns:ns15="xml" ns15:lang="en">Pelvic Floor Disorders</dc:subject>
  <dc:subject xmlns:ns16="xml" ns16:lang="en">Pelvic Pain</dc:subject>
  <dc:title xmlns:ns17="xml" ns17:lang="en">Diaphragmatic Endometriosis: Multidisciplinary Treatment.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>