{"paper_id":"61ff9bf9-7b88-449d-8edf-253a99ebd7e5","body_text":"Abstract\nDeep endometriosis (DE) represents a chronic inflammatory disease, affecting pelvic viscera and peritoneal and retroperitoneal structures and completely distorting their normal aspect and reciprocal relationships by a mechanism of progressive infiltration and retraction. One of the main objectives of its surgical treatment, together with reducing pelvic pain and improving fertility, is the restoration of normal pelvic anatomy. For this reason, surgeons must have a deep knowledge of pelvic anatomy, in order to reassess a grossly distorted surgical field. Thus, pelvic anatomical landmarks represent essential points of reference to start procedures such as mobilization of the pelvic viscera, wide peritoneal resections, or the identification of further anatomical structures to be preserved, such as parasympathetic and orthosympathetic pelvic neural fibers in nerve-sparing procedures.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nTestut L. Traitè d’Anatomie Humaine. 8th ed. Paris: Ed Doin; 1931.\nKamina P. Anatomie Clinique. Tome 4. Paris, Ed Maloine SA, 2008.\nCeccaroni M, Fanfani F, Ercoli A, Scambia G. Innervazione Viscerale e Somatica della Pelvi Femminile. Testo Atlante di Anatomia Chirurgica 2006. Edizioni CIC.\nBallester M, Belghiti J, Zilberman S, Thomin A, Bonneau C, Bazot M, Thomassin-Naggara I, Daraï E. Surgical and clinical impact of extraserosal pelvic fascia removal in segmental colorectal resection for endometriosis. J Minim Invasive Gynecol. 2014;21(6):1041–8.\nNetter FH. Atlante di Anatomia Fisiopatologia e Clinica, Vol. 3. Apparato Riproduttivo, Collezione CIBA, 1999.\nDe Kleuver M, Kooijman MA, Kauer JM, et al. Pelvic osteotomies: anatomic pitfalls at the ischium. A cadaver study. Arch Orthop Trauma Surg. 1998;117(6–7):376–8.\nTraité d’anatomie humaine. Publié sous la direction de P. Poirier et A. Charpy, 1899.\nPeham HV, Amreich J. Gynakologische operationslehre. Berlin: S Karger; 1930.\nPeham HV, Amreich J. Operative gynecology (translated by Ferguson LK). Philadelphia: JB Lippincott; 1934.\nQuerleu D, Morrow CP. Classification of radical hysterectomy. Lancet Oncol. 2008;9(3):297–303.\nCeccaroni M, Clarizia R, Bruni F, D'Urso E, Gagliardi ML, Roviglione G, Minelli L, Ruffo G. Nerve-sparing laparoscopic eradication of deep endometriosis with segmental rectal and parametrial resection: the Negrar method. A single-center, prospective, clinical trial. Surg Endosc. 2012;26(7):2029–45.\nCeccaroni M, Pontrelli G, Spagnolo E, Scioscia M, Bruni F, Paglia A, Minelli L. Parametrial dissection during laparoscopic nerve-sparing radical hysterectomy: a new approach aims to improve patients' postoperative quality of life. Am J Obstet Gynecol. 2010;202(3):320.\nCeccaroni M, Clarizia R, Roviglione G, Ruffo G.Neuro-anatomy of the posterior parametrium and surgical considerations for a nerve-sparing approach in radical pelvic surgery. Surg Endosc. 2013;27:4386–94.\nErcoli A, Delmas V, Fanfani F, et al. Terminologia Anatomica versus unofficial descriptions and nomenclature of the fasciae and ligaments of the female pelvis: a dissection-based comparative study. Am J Obstet Gynecol. 2005;193:1565–73.\nHeald RJ. The “holy plane” of rectal surgery. J R Soc Med. 1988;81:503–8.\nHavenga YY, Sasaki H, Hatakeyama N, Murakami G. Discrepancies between classic anatomy and modern gynecologic surgery on pelvic connective tissue structure: harmonization of those concepts by collaborative cadaver dissection. Am J Obstet Gynecol. 2005;193(1):7–15.\nYohannes P. Ureteral endometriosis. J Urol. 2003;170:20–5.\nAntonelli A, Simeone C, Zani D, Sacconi T, Minini G, Canossi E, et al. Clinical aspects and surgical treatment of urinary tract endometriosis: our experience with 31 cases. Eur Urol. 2006;49:1093–7.\nOstrzenski A, Radolinski B, Ostrzenska KM. A review of laparoscopic ureteral injury in pelvic surgery. Obstet Gynecol Surv. 2003;58:794–9.\nTerzibachian JJ, Gay C, Bertrand V, Bouvard M, Knoepffler F. Value of ureteral catheterization in laparoscopy. Gynecol Obstet Fertil. 2001;29:427–32.\nGrainger DA, Soderstrom RM, Schiff SF, Glickman MG, DeCherney AH, Diamond MP. Ureteral injuries at laparoscopy: insights into diagnosis, management and prevention. Obstet Gynecol. 1990;76:889–90.\nRafique M, Arif MH. Management of iatrogenic ureteric injuries associated with gynecological surgery. Int Urol Nephrol. 2002;34:31–5.\nYabuki Y, Sasaki H, Hatakeyama N, Murakami G. Discrepancies between classic anatomy and modern gynecologic surgery on pelvic connective tissue structure: harmonization of those concepts by collaborative cadaver dissection. Am J Obstet Gynecol. 2005;193:7–15.\nCeccaroni M, Pontrelli G, Spagnolo E, et al. Nerve-Sparing laparoscopic radical excision of deep endometriosis with rectal and parametrial resection. J Minim Invasive Gynecol. 2010;17:14–5.\nHeald RJ, Husband EM, Ryall RD. Br J Surg. 1982;69(10):613–6.\nCeccaroni M, Clarizia R, Roviglione G, et al. Deep rectal and parametrial infiltrating endometriosis with monolateral pudendal nerve involvement: case report and laparoscopic nerve-sparing approach. Eur J Obstet Gynecol Reprod Biol. 2010;153:227–9.\nErcoli A, Delmas V, Gadonneix P, Fanfani F, Villet R, Paparella P, Mancuso S, Scambia G. Classical and nerve-sparing radical hysterectomy: an evaluation of the risk of injury to the autonomous pelvic nerves. Surg Radiol Anat. 2003;25(3–4):200–6.\nAuthor information\nAuthors and Affiliations\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2018 Springer International Publishing AG, part of Springer Nature\nAbout this chapter\nCite this chapter\nCeccaroni, M., Roviglione, G., Mautone, D., Clarizia, R. (2018). Anatomical Landmarks in Deep Endometriosis Surgery. In: Gomes-da-Silveira, G.G., da Silveira, G.P.G., Pessini, S.A. (eds) Minimally Invasive Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-72592-5_5\nDownload citation\nDOI: https://doi.org/10.1007/978-3-319-72592-5_5\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-319-72591-8\nOnline ISBN: 978-3-319-72592-5\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}