Surgery for deep infiltrating endometriosis: technique and rationale.
نویسندگان
چکیده
The surgical treatment of deep infiltrating endometriosis is challenging and complex. Currently, the gold standard for patient care is the referral to tertiary centers with a multidisciplinary team including gynecologists, colorectal surgeon and urologist with adequate training in advanced laparoscopic surgery. The surgical technique is essential to adequately manage the disease and to minimize the risk of complications; however, the technique is rarely taught and described in details. This paper reviews our current technique and all the tricks to allow the reproduction and even the improvement of this technique by other surgeons.
منابع مشابه
I-59: Diagnostic Accuracy of Physical Examination,Transvaginal Sonography, RectalEndoscopic Sonography, and Magnetic ResonanceImaging to Diagnose Deep InfiltratingEndometriosis
Background: To compare the value of physical examination, transvaginal sonography (TVS), rectal endoscopic sonography (RES), and magnetic resonance imaging (MRI) for the assessment of different locations of deep infiltrating endometriosis (DIE). Materials and Methods: Ninety-two consecutive patients with clinical evidence of pelvic endometriosis. Physical examination, TVS, RES, and MRI, perform...
متن کاملO-19: A Comparison of Pelvic Magnetic Resonance Imaging, Trans-Vaginal and Trans-Rectal Sonography with Laparoscopic Findings in The Diagnosis of Deep Infiltrating Endometriosis
Background The performance of TVS, TRS and MRI for the diagnosis of DIE have been separately reported in earlier studies. However, the three methods have not been concurrently compared in terms of their overall performance and classified results as per different anatomical locations of DIE lesions in a large study population. This study was an attempt to compare pelvic magnetic resonance imagin...
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متن کامل
Laparoscopic rectal resection of deep infiltrating endometriosis.
PURPOSE Deep infiltrating endometriosis with colorectal involvement is a complex disorder, often requiring segmental bowel resection. Complete removal of all visible lesions is considered the adequate treatment of infiltrating endometriosis in order to reduce recurrence. In this article, we describe our experience with laparoscopic management of deep infiltrating endometriosis with involvement ...
متن کاملDiagnosis and treatment of deep infiltrating endometriosis with bowel involvement: a case report.
INTRODUCTION Deep infiltrating endometriosis is a form of endometriosis penetrating deeply under the peritoneal surface causing pain and infertility. Assessment of the pelvis by laparoscopy and histological confirmation of the disease is considered the golden standard of diagnosis. CASE OUTLINE We are presenting a patient diagnosed with deep infiltrating endometriosis by transvaginal ultrasou...
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ورودعنوان ژورنال:
- Frontiers in bioscience
دوره 5 شماره
صفحات -
تاریخ انتشار 2013