Literature DB >> 23122579

Preoperative planning of surgery for deeply infiltrating endometriosis using the ENZIAN classification.

Dietmar Haas1, Radek Chvatal, Alwin Habelsberger, Wolfgang Schimetta, Wolfgang Wayand, Andreas Shamiyeh, Peter Oppelt.   

Abstract

OBJECTIVE: To use the ENZIAN classification for preoperative estimation of laparoscopic operating time in patients with deeply infiltrating endometriosis (DIE). STUDY
DESIGN: Retrospective study of women with DIE (n=151) who underwent laparoscopic surgery.
RESULTS: 151 of 470 patients had DIE (n=205 lesions) exclusively in compartments A (rectovaginal septum, vagina), B (sacrouterine ligament to the pelvic wall) and C (rectum, sigmoid colon). These laparoscopically treated lesions were used to calculate a model for estimating operating time for DIE, assuming complication-free procedures (overall significance for model's predictive power: P<0.001). The error of estimation for the operating time prediction is 0 ± 35.35 min (mean ± SD; range -83 to +117 min). The actual operating time for all operations was 109.32 ± 74.38 min (mean ± standard deviation).
CONCLUSIONS: Using a model for predicting operating time based on the ENZIAN classification enables resources to be planned more precisely in surgery management. Patients with DIE can also be given more precise information regarding the expected operating time.
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

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Year:  2012        PMID: 23122579     DOI: 10.1016/j.ejogrb.2012.10.012

Source DB:  PubMed          Journal:  Eur J Obstet Gynecol Reprod Biol        ISSN: 0301-2115            Impact factor:   2.435


  9 in total

1.  National German Guideline (S2k): Guideline for the Diagnosis and Treatment of Endometriosis: Long Version - AWMF Registry No. 015-045.

Authors:  U Ulrich; O Buchweitz; R Greb; J Keckstein; I von Leffern; P Oppelt; S P Renner; M Sillem; W Stummvoll; R-L De Wilde; K-W Schweppe
Journal:  Geburtshilfe Frauenheilkd       Date:  2014-12       Impact factor: 2.915

2.  Interdisciplinary S2k Guidelines for the Diagnosis and Treatment of Endometriosis: Short Version - AWMF Registry No. 015-045, August 2013.

Authors:  U Ulrich; O Buchweitz; R Greb; J Keckstein; I von Leffern; P Oppelt; S P Renner; M Sillem; W Stummvoll; K-W Schweppe
Journal:  Geburtshilfe Frauenheilkd       Date:  2013-09       Impact factor: 2.915

3.  Recommendations for the surgical treatment of endometriosis Part 2: deep endometriosis †‡¶.

Authors: 
Journal:  Facts Views Vis Obgyn       Date:  2020-03-27

4.  EQUSUM: Endometriosis QUality and grading instrument for SUrgical performance: proof of concept study for automatic digital registration and classification scoring for r-ASRM, EFI and Enzian.

Authors:  J Metzemaekers; P Haazebroek; M J G H Smeets; J English; M D Blikkendaal; A R H Twijnstra; G D Adamson; J Keckstein; F W Jansen
Journal:  Hum Reprod Open       Date:  2020-12-30

5.  Diagnostic Benefit of the Detection of Mitotic Figures in Endometriotic Lesions.

Authors:  Michelle Wetzk; Nannette Grübling; Almuth Forberger; Jörg Klengel; Jan Kuhlmann; Pauline Wimberger; Maren Goeckenjan
Journal:  Geburtshilfe Frauenheilkd       Date:  2022-01-10       Impact factor: 2.915

6.  Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification.

Authors:  Nathalie Vermeulen; Mauricio S Abrao; Jon I Einarsson; Andrew W Horne; Neil P Johnson; Ted T M Lee; Stacey Missmer; John Petrozza; Carla Tomassetti; Krina T Zondervan; Grigoris Grimbizis; Rudy Leon De Wilde
Journal:  Hum Reprod Open       Date:  2021-10-22

7.  Endometriosis classification, staging and reporting systems: a review on the road to a universally accepted endometriosis classification.

Authors:  N Vermeulen; M S Abrao; J I Einarsson; A W Horne; N P Johnson; T T M Lee; S Missmer; J Petrozza; C Tomassetti; K T Zondervan; G Grimbizis; R L De Wilde
Journal:  Facts Views Vis Obgyn       Date:  2021-12

Review 8.  Molecular and Cellular Pathogenesis of Endometriosis.

Authors:  Petra A B Klemmt; Anna Starzinski-Powitz
Journal:  Curr Womens Health Rev       Date:  2018-06

9.  Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis.

Authors:  Joerg Keckstein; Christian M Becker; Michel Canis; Anis Feki; Grigoris F Grimbizis; Lone Hummelshoj; Michelle Nisolle; Horace Roman; Ertan Saridogan; Vasilios Tanos; Carla Tomassetti; Uwe A Ulrich; Nathalie Vermeulen; Rudy Leon De Wilde
Journal:  Hum Reprod Open       Date:  2020-02-12
  9 in total

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