Endometriosis: when is surgical treatment indicated?

Although oral contraceptives provide the primary therapy for endometriosis, surgery is sometimes indicated. Surgical treatment should be conservative, with salvage of as much tissue as possible. Ovarian and presacral neurectomy, in addition to dissection and desiccation, should be done in most cases.

Postoperative pelvic gas collections simulating pelvic abscess.

Extraperitoneal gas collections are routinely found in pelvic soft tissues following abdominal hysterectomy. These collections have the typical appearance of extraperitoneal gas but should not be confused with pelvic infection or bowel injury. Similar collections are not routinely found following vaginal hysterectomy.

Treatment of cervical carcinoma.

A comparison of cervical carcinoma survived data is made between a large specialized cancer treatment center, M.D. Anderson, and a general regional medical center with 15,000 inpatient admissions and over 250,000 outpatient visits per year.