{"paper_id":"64e6b882-3ef8-46ce-b058-85f09a220178","body_text":"Abstract\nEndometriosis has been reported as a major cause of pelvic pain. Most notably, deep infiltrating endometriosis is a very active disease that occurs in 20 % of women with endometriosis. We have been actively dissecting deep infiltrating diseased areas within the sacral ligaments around the uterus in order to improve dysmenorrhea and chronic pelvic pain caused by deep infiltrating endometriosis. Laparoscopic surgery is an ideal option to treat deep infiltrating endometriosis involving complete cul-de-sac obliteration due to its minimal invasiveness and ability to achieve an appropriate depth of surgical field. It is important to prevent pain recurrence by providing systematic surgery and removing the deep infiltrating endometriosis safely and widely. To reduce recurrence, it is ideal to provide postoperative education to maintain the effect of surgery.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nGiudice LC, Kao LC. Endometriosis. Lancet. 2004;364:1789–99.\nChapron C. Ovarian endometrioma: severe pelvic pain is associated with deeply infiltrating endometriosis. Hum Reprod. 2012;27(3):702–11.\nVercellini P. Endometriosis: what a pain it is. Semin Reprod Endocrinol. 1997;15(3):251–61.\nChapron C. Operative management of deep endometriosis infiltrating the uterosacral ligaments. J Am Assoc Gynecol Laparosc. 1999;6(1):31–7.\nBusaca M. Recurrence of ovarian endometrioma after laparoscopic excision. Am J Obstet Gynecol. 1999;180:519–23.\nSaleh A. Reoperation after laparoscopic treatment of ovarian endometriomas by excision and by fenestration. Fertil Steril. 1999;72:322–4.\nGhezzi F. Recurrence of endometriosis and anatomical location of the primary lesion. Fertil Steril. 2001;75:136–40.\nJones KD. Recurrence of chocolate cysts after laparoscopic ablation. J Am Assoc Gynecol Laparosc. 2002;9:315–20.\nVercellini P. Coagulation or excision of ovarian endometriomas? Am J Obstet Gynecol. 2003;188:606–10.\nKoga K. Recurrence of ovarian endometrioma after laparoscopic excision. Hum Reprod. 2006;21:2171–4.\nVercellini P. Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: a multivariate analysis of over 1000 patients. Hum Reprod. 2007;22:266–71.\nLiu X. Patterns of and risk factors for recurrence in women with ovarian endometriomas. Obstet Gynecol. 2007;109(6):1411–20.\nVercellini P. Postoperative oral contraceptive exposure and risk of endometrioma recurrence. Am J Obstet Gynecol. 2008;198:504. e1–504e5.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2014 Springer Japan\nAbout this chapter\nCite this chapter\nOta, Y. et al. (2014). Systematic Laparoscopic Surgery for Complete Obliteration of the Cul-de-sac. In: Harada, T. (eds) Endometriosis. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54421-0_24\nDownload citation\nDOI: https://doi.org/10.1007/978-4-431-54421-0_24\nPublished:\nPublisher Name: Springer, Tokyo\nPrint ISBN: 978-4-431-54420-3\nOnline ISBN: 978-4-431-54421-0\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}