June 2021: First patients treated at IFEM Endo with HIFU for rectal endometriosis
IFEM Endo has anexperienced team of gynecological surgeons whose clinical activity is exclusively dedicated to endometriosis. We offer the management of all forms of endometriosis, even the rarest, by trained multidisciplinary teams. The results of our surgical activity are known throughout the world, thanks to numerous scientific publications and the various innovations proposed in the surgical management of deep endometriosis and ovarian endometriosis.
Endometriosis is a gynecological disease, at least in its initial form. There are several preferential locations in the gynaecological sphere: on the peritoneum of the cul de sac of Douglas, the vesico-uterine cul de sac, on the utero-sacral ligaments, on the broad ligaments, or on the ovaries and fallopian tubes.
Deep endometriosis can affect the digestive tract, infiltrating the various layers of the wall of the rectum, colon, small intestine and appendix.
The frequency of this type of endometriosis is difficult to estimate precisely. In a survey carried out in 2015 in 56 French facilities, it was estimated that over 1,200 patients are operated on each year in France for endometriosis of the colon and rectum.
Deep endometriosis can infiltrate the organs of the urinary tract, notably the bladder and ureters. Urinary symptoms associated with bladder involvement typically include urinary pain during menstruation, or the need to urinate frequently, including at night.
Hysterectomy is the surgical removal of the uterus. Although this surgical procedure does not treat endometriosis, which by definition lies outside the uterus, hysterectomy is frequently associated with the removal of endometriosis in women with adenomyosis who no longer wish to become pregnant.
Diaphragm lesions are not always symptomatic. They may, however, be responsible for pain in the right shoulder during menstruation, in the right scapula, or at the base of the right hemithorax. In some cases, diaphragm lesions are the cause of recurrent pneumothorax episodes during menstruation.
Deep endometriosis can affect the sacral plexuses, particularly when it spreads to the space lateral to the vagina and rectum, also known as the parametrium. Deep endometriosis nodules in the parametrium can compress, sheath or infiltrate large-diameter nerve structures such as the sacral roots.
Robotic surgery first appeared on the surgical scene in the late 90s. Over the past 20 years, technological advances have led to the rapid development of robotic surgery and an explosion in the number of centers that have decided to acquire a robot.
