Debatable aspects of peritoneal endometriosis
The article features some debatable aspects of morphogenesis and treatment of peritoneal endometriosis. Attention is drawn to the fact that the leading method of treatment of such patients is surgical intervention. On the other hand treatment of patients with endometriosis should be complex and include: 1) use of hormonal medication (antihormones)- 2) correction of immune disorders- 3) action on the antioxidant system- 4) inhibition of prostaglandin synthesis- 5) activation of the functions of the liver and the pancreas- 6) neurotropic action. Action on the antioxidant system should be regarded as one of important components of complex therapy of patients with peritoneal endometriosis, since in foci of endometriosis marked scarry-infiltrative and sclerotic lesions of tissues are observed that cause impaired blood circulation of the organs of the small pelvis.