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A Journal on Obstetrics and Gynecology

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Minerva Ginecologica 2012 August;64(4):331-5

language: English

Simplified approach to the treatment of endometriosis – ECO system

Bassil Lasmar R. 1, Simões Abraão M. 2, Lasmar B. P. 1, Leon Dewilde R. 3

1 Department of Gynecology and Obstetrics of Federal Fluminense University, Rio de Janeiro, Brazil;
2 Department of Gynecology and Obstetrics, São Paulo University, San Paolo, Brazil;
3 Department of Gynecology and Obstetrics of Pius Clinic Oldenburg, University of Goettingen, Goettingen, Germany


AIM: The aim of the present study was to develop a system to facilitate the approach for patients with endometriosis, mainly for non-specialized gynecologists.
METHODS: This was a multicenter study (Canadian Task Force classification II-3). The study aimed to correlate three known parameters for endometriosis, qualifying and quantifying their importance in terms of disease severity and treatment complexity. Patients were divided into three groups.
RESULTS: Each parameter was scored from 0 to 2 in order to determine medical or surgical management for endometriosis based on the clinical and imaging results, where the total score of 0 to 2 was for medical treatment, score 3 was possible medical treatment or surgical and score of 4 to 6 was for surgical intervention. A total score from the three parameters was obtained. Anatomical extent of infiltration and complaints and objective of the patient was helpful in deciding on management of patients with endometriosis.
CONCLUSION: The ECO system can be a qualified and helpful tool in the approach to patients with suspected endometriosis, mainly for non-specialized gynecologists.

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