Does a "peritoneal circulation" really exist?

Bowel Invisible Microscopic Endometriosis: Leave It Alone

Redwine DB et al., 2018 · Journal of minimally invasive gynecology

Dissecting and temporarily resuspending the adherent ovary

Redwine DB, 2006 · Fertility and sterility

Complications of laparoscopic surgery: How to avoid them and how to repair them

Shirk GJ et al., 2006 · Journal of minimally invasive gynecology

Variations in tubal configuration in endometriosis?

Redwine DB, 2006 · Fertility and sterility

Pelvic endometriosis--the same or different entities in disguise?

Redwine DB, 1998 · Fertility and sterility

Attachment of endometrial cells to peritoneum--facilitated?

Redwine DB, 2001 · Fertility and sterility

Endometrial tissue in peritoneal fluid

Bartosik D et al., 1986 · Fertil Steril

Peritoneal fluid (PF) was studied for the presence of endometrial tissue in a consecutive series of 67 women (with documented tubal patency) undergoing diagnostic laparoscopy, tubal lavage, and hysteroscopy. PF was completely aspirated from the cul-de-sac both before and after uterine irrigation. The PF was then analyzed for the presence of endometrial tissue. In native PF no significant difference in the incidence of endometrial tissue between patients with (19%) and without (11%) endometriosis (P = 0.6) was observed. Refluxed PF, obtained after uterine irrigation, showed a significantly higher incidence of endometrial tissue in women with endometriosis (76%) as compared to controls (42%) (P = 0.03). We propose two models to explain the development of endometriosis. These are not mutually exclusive, may be independent of each other, and may represent two distinct pathophysiologic disease processes.

Peritoneal fluid: its relevance to the development of endometriosis

Ramey JW et al., 1993 · Fertil Steril

To review and evaluate published studies that have examined the role of peritoneal fluid (PF) in the development of endometriosis. Important studies related to this topic have been identified through a computerized bibliographical search (MEDLINE), as well as by manually scanning the published literature of major reproductive journals over the last several years. Studies that examined the effect of PF or its components on the pathophysiology of endometriosis are discussed. These include reported effects on the histogenesis, maintenance and proliferation of endometriosis, as well as related actions on infertility. The majority of investigations into the role PF plays in the pathogenesis of endometriosis have evaluated how it may adversely affect fertility. Suggestive but inconclusive data in the literature indicate that degenerating endometrial tissue may release a biochemical factor(s) into the peritoneal environment that is capable of inducing ectopic endometrium formation. Peritoneal fluid itself contains growth factor that may play a role in the implantation and maintenance of the ectopic endometrium. The PF of women with endometriosis has been shown to contain angiogenic as well as other growth factors. These compounds may contribute to the proliferation of the ectopic endometrium.