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Gynécologie Obstétrique & Fertilité
Volume 41, n° 5
pages 322-327 (mai 2013)
Doi : 10.1016/j.gyobfe.2012.06.001
Received : 23 September 2011 ;  accepted : 11 June 2012
Les endométrioses iatrogènes de la femme avant la ménopause : principaux enjeux
Iatrogenic endometriosis during reproductive age: Main issues?
 

A. Audebert
IGF1, 35, rue Turenne, 33000 Bordeaux, France 

Résumé

Parmi les lésions endométriosiques, une faible proportion est secondaire à diverses actions médicales et peut ainsi être considérée comme iatrogène. Toute action apte à augmenter le reflux menstruel ou à le favoriser présente un risque potentiel : il s’agit des conisations, des hydrotubations ou de l’utilisation d’un stérilet au cuivre. Les interventions abdominales, par laparotomie ou cœlioscopie, sont susceptibles de favoriser le transport et la greffe de fragments d’endomètre au niveau cutané, en particulier quand une hystérotomie est réalisée. Le diagnostic et le traitement chirurgical de ces lésions sont aujourd’hui standardisés. Peu de mesures préventives sont utilisables, en dehors d’un acte chirurgical adapté, et aucune n’a fait l’objet d’une validation appropriée, principalement en raison de la faible fréquence de ces lésions.

The full text of this article is available in PDF format.
Abstract

Among endometriotic lesions a small proportion is secondary to various medical activities, and may be considered as iatrogenic. Any medical or surgical procedure increasing the menstrual flow or the retrograde flow bears a potential risk: conization, hydrotubation or copper intra-uterine device. Surgical procedures, by laparotomy or laparoscopic approach, are able to favor transport and cutaneous seeding of endometrial tissue, especially when a hysterotomy has been performed. Diagnosis and treatment of these lesions are todays standardized. Few preventive measures are available, besides adequate surgical procedure, but none has been properly evaluated, mainly because these lesions are not frequent.

The full text of this article is available in PDF format.

Mots clés : Endométriose, Iatrogène, Prévention

Keywords : Endometriosis, Iatrogen, Prevention




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