Archive for the ‘Endometriosis’ Category

Endometriosis – bisphenol – dioxin – pollution

Sunday, June 13th, 2010

Recently the Italian press has been debating bisfenol as a cause of endometriosis. This needs some comments
1. The relationship between endometriosis and endocrine disrupters as dioxin started in 1994 with the article of Koninckx-Kennedy-Barlow soon followed by the primate article of Rier. Since then numerous articles have been published but the relationship [...]

Peritoneal stripping in endometriosis ?

Wednesday, May 26th, 2010

Peritoneal stripping in  endometriosis ?
“Peritoneal stripping of large areas of normal looking peritoneum” as a treatment for endometriosis is circulating on the web. It was recently debated in newspapers and is being discussed on patient forums. It even is advocated by some gynaecologists. Since in the literature as pubmed no publications are found, [...]

Medical politics and endometriosis

Tuesday, April 20th, 2010

Endometriosis is apparently a hot topic with many scientifical controversies. In addition to the numerous and well organised patient organisations, political action and lobbying has become more prominent over the last years. As a consequence of this Endometriosis has been recognised as a social disease in Italy, while also in the EU endometriosis has been [...]

A simple non invasive test to diagnose endometriosis is irrealistic and could harm the patients

Tuesday, March 16th, 2010

Following an international e-mail debate concerning research funding in endometriosis and lobbying for endometriosis some comments are important.
1. The discussion and comments clearly demonstrated that the professional world of endometriosis remains divided between a few advanced surgeons (dealing with severe and deep endometriosis), infertility specialists dealing predominantly with superficial endometriosis, gynaecologists involved [...]

Endometriosis and cancer

Monday, February 22nd, 2010

Published recently in : 2010 World Endometriosis Society World Endometriosis Society e-Journal Volume 12 No 1, 2010 8 ; editor L. Rombauts.
Dear Editor,
The association between ovarian cancer and endometriosis has become highlighted over the last years and the last eJournal adequately details the available data. The interpretation of the data with RR ratios and [...]

Robotic surgery is not superior and potentially dangerous.

Saturday, February 6th, 2010

During an endoscopy meeting in Lisbon the use of robots was extensively discussed and this promted us to write this text.
Laparoscopic surgery really started to be developed at the end of the eighties ie more than 20 years ago. Since then we witnessed its development and the progressive demonstration of its superiority in comparison [...]

“Centers of excellent surgery” are needed not “Centers of excellence in Endometriosis”

Sunday, January 10th, 2010

Find below a summary of an article published in ‘Gynaecological Surgery’
“Centers of Excellent Endometriosis surgery” or “Centers of excellence in Endometriosis”
Philippe R. Koninckx1-2 and Anastasia Ussia2; 1KULeuven, Leuven, Belgium ; Univ of Oxford, Oxford, UK ; Università Cattolica, Rome Italy ; and 2Gruppo Italo Belga, Villa del Rosario, Rome , Italy
Little progress has been [...]

Early pregnancy, an ovarian cyst and acute pain

Monday, December 21st, 2009

The question
a 35 years old lady 5 weeks pregnant with moderate to severe left side abdominal pain, moderate tenderness. TVS revealed 6cm simple left ovarian cyst and intrauterine gestational sac, with
positive color doppler around the cyst and doubling BHCG.
I counseled the pt against surgical intervention as this will carry a high risk of
pregnancy loss. [...]

Pregnancy, endometriosis and preeclampsia

Tuesday, November 24th, 2009

The question After one year my wife (who has endometriosis) got pregnant. We are looking for information on the effect of pregnancy upon endometriosis : is there a risk that endometriosis can grow. .
The answer
effect of a pregnancy upon endometriosis.
Pregnancy makes endometriosis and the endometrium decidualise ie both become less active, and [...]

Cystic ovarian endometriosis and ovarian cancer

Monday, November 23rd, 2009

Cystic ovarian endometriosis and ovarian cancer