Ovarian Endometriosis: Ablation or Excision

SEUD WEB SYMPOSIUM!

Ovarian Endometriosis: Ablation or Excision?

About

THE WEBINAR

The application of laser therapy as an adjunct in gynaecological diseases has increased considerably. Many specialists now consider introducing laser technology into their gynaecology and outpatient procedures. We are convinced of its benefits and so, have commenced our laser workshops on gynaecological surgery.

The basic intention is to provide a practical introduction and approach to technical issues.

PROGRAM

Introductions and Patient presentation
Summary of recently published evidence on Endometriosis treatment with CO2 laser
Live surgery: Ovarian Endometriosis
Q&A

Live from San Raffaele Hospital in Milano, Italy

Monday

July 1st, 2019

11:00 AM to noon
GMT +0200 Europe/Paris

Funded by Lumenis [more info +]

About patient

G.R., 28 yo

LEFT MONOLATERAL ENDOMETRIOMA +PELVIC ADHESIONS: C02 FIBER LASER VAPORIZATION +ADHESIOLYSIS +DIAGNOSTIC HYSTEROSCOPY

Present complaint: dysmenorrhea and chronic pelvic pain.

TV-US (30th May 2019):

Uterus: retroverted, mobile, with posterior adenomyosis.
Endometrium: regular
Right adnexa: regular, hypomobile.
Left adnexa: fixed, increased in volume due to the presence of: Endometrioma: 35x49mm
Recto-vaginal pouch: no lesions
Vescico-uterine pouch: no lesions

Physical examination (30th May 2019):

External genitalia: nulliparous
Vagina: regular
Uterus: anteverted, hypomobile.
Right ovary: hypomobile, regular
Left ovary: fixed, increased in volume

Remote history:

Obstetrical history: Gravida 0
Previous surgery: LPS (2013): right endometrioma enucleation + adhesiolysis
Hormonal Therapy: Continuous P therapy

About the experts

WITH THE EXPERTS

Pr Massimo Candiani
San Raffaele Hospital, Milan, Italy

Prof. M. Candiani is considered one of leading endometriosis specialists worldwide, both for his many years of experience and success in advanced excision surgery and for this comprehensive approach to treating endometriosis. Prof. M. Candiani is an author of more than 200 international peer-reviewed articles.
Recently, Prof. M Candiani published his latest research that focuses on Treatment of Ovarian Endometrioma and the impact of CO2 Laser Fiber Vaporization on Ovarian Reserve.

Pr Francisco Carmona
Head of the Gynecology and Obstetrics Service at Hospital Clínic de Barcelona

Prof. F. Carmona is considered one of the leading endometriosis and benign diseases worldwide specialist including pelvic floor pathology. He has published more than 100 scientific articles. Prof. F. Carmona is also author of more than 20 book chapters both in English and Spanish.

Prof. F. Carmona acts as invited referee for several important medical journals including Fertility and Sterility and Human Reproduction.

Dr Mariona Rius
Obstetrician gynecologist specialized in endometriosis

Dr. M. Rius is the expert in endometriosis and gynecological ultrasound.

Dr. M. Rius is an author of the latest research that focuses on the Treatment of Ovarian Endometrioma and the impact of CO2 Laser Fiber Vaporization on Ovarian Reserve.

DISCUSSION
(Please, ask your questions on the webinar page, received after registration)

5 Comments

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sarah

4 years ago

When do you operate for patients with endometriosis and require fertility? We see patients with recurrent endometrioma after surgery and now need IVF. Would you use size of endometrioma to decide if the patient needs surgery before IVF?

SEUD

Reply to sarah

4 years ago

Please, ask your question on the webinar page

AUH WHAN PARK

4 years ago

How about sclerotherapy? Could it be an alternative to thermal ablation or excision?

Alanna

3 years ago

This is not the right treatment. The endometriomas will return within a year with ablation.

Sara Sayed

3 years ago

How about sclerotherapy? Could it be an alternative to thermal ablation or excision and whate is best for surgery.. Its simple cystotomy or with lazer abalation?

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