Obstet Gynecol Sci.  2024 Jan;67(1):49-57. 10.5468/ogs.23176.

Minimally invasive surgery for deep endometriosis

• Cho A
• Park CM

• KMID: 2550485
• DOI: http://doi.org/10.5468/ogs.23176

Abstract

Deep endometriosis (DE) is endometriotic tissue that invades the peritoneum by >5 mm. Surgery is the treatment of choice for symptomatic DE, and laparoscopic surgery is preferred over laparotomy due to better vision and postoperative pain. In this review, we aimed to collect and summarize recent literature on DE surgery and share laparoscopic procedures for rectovaginal and bowel endometriosis.

Keyword

Endometriosis; Minimally invasive surgery

Figure

• 

  Fig. 1 Surgical procedure for deep endometriosis. (A) Both endometrioma and cul-de-sac obliteration were seen. (B) Bilateral ovarian cystectomy and ovariopexy were performed. (C) The ureter was identified. (D) The rectum was mobilized by opening pararectal space. (E) Both lateral sides of the rectum were freed. (F) The anterior rectum was separated from the uterus by cold scissors. (G) The endometriotic nodule in the uterosacral ligament was removed. (H) Postoperative image.

Reference

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