Archive for the ‘Koninckx's Blog’ Category

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 Excellence in 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, [...]

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

Laparoscopic ureter repair.

Wednesday, November 11th, 2009

Date: Tue, 10 Nov 2009 19:44:06 -0500 From: Kurian Thott Subject: Ureter repair laparoscopically
Recently involved in a case where the ureter was transected during a TLH, (at the level of uterine artery) it was discovered during cystoscopy after we finished the case (which I do after all [...]

laparoscopic hysterectomy for large uteri and robotic surgery

Tuesday, November 10th, 2009

Date: Tue, 10 Nov 2009 19:45:30 -0500 From: “Philippe R. Koninckx and Anastasia Ussia” Subject: Laparoscopic hysterectomy on the large fibroid uterus
Find below some comments to the discussion on large uteri and on robotic surgery on the AAGL listserv.
1. The first and single most important instrument [...]

Adenomyosis, infertility and debulking

Wednesday, October 28th, 2009

I’m just writing this mail because of my adenomyosis : an adenomyoma of 9 cm in the myometrium, found in april 2009 after a laparotomia. Everybody told me Adenomyosis is impossible to surgery. So I did therapy whit Enantone 3,75 for 6 months, but the adenomyoma not reduced its size. I’m looking for a [...]