Vault Endometriosis: Detailed Step-by-Step Laparoscopic Surgical Management Technique

Limbachiya, Dipak; Tiwari, Rajnish; Kumari, Rashmi

doi:10.4293/jsls.2021.00057

Cited by 1 publication

(1 citation statement)

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“…Steps of the procedure: Adhesiolysis with inspection and evaluation of the extent of endometriosis with the restoration of normal anatomy A detailed exploration of the peritoneal cavity and analysis are done following adhesiolysis (bowel or peritoneal adhesions), for any signs/features suggestive of endometriosis, especially over the pelvic peritoneum, sigmoid colon, rectum, uterosacral ligament, bilateral ovaries, vault, and peritoneal cavity. Development of bilateral Para-vesical and lateral Para-rectal spaces (Latzko space) 14 The development of these avascular spaces in the pelvis is precursory for any complex pelvic surgeries. This step further helps in the lateralization of ureters, proper identification of inferior hypogastric nerve (IHN), and thus facilitating nerve-sparing surgery.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Bowel Endometriosis Management by Colorectal Resection: Laparoscopic Surgical Technique & Outcome

Limbachiya¹,

Tiwari²,

Kumari³

et al. 2023

JSLS

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Background and Objectives: Bowel deep infiltrating endometriosis (DIE) management by colorectal resection is a complex procedure. The purpose of the present study is to delineate a meticulous approach to the assessment of the patient, step-wise surgical technique, pre, and postoperative care, and its short-term and long-term outcomes. Methods: This is a single-center retrospective study done on patients of bowel DIE managed by colorectal resection between January 1, 2019 to June 30, 2021. Results: There was a significant improvement in the symptomatology of patients post-surgery. Our surgical technique is feasible with acceptable short-term and long-term outcomes. Conclusion: Bowel DIE management can be proficiently executed with a proper diagnostic approach, appropriate surgical expertise with exhaustive pelvic anatomy knowledge especially concerning autonomic nerve plexus.

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