Horace Roman

INTRODUCTION: The Ablative Technique Options for Preserving fertility in Endometrioma study is a prospective, monocentric clinical study that combines a randomised controlled trial comparing cystectomy and plasma vapourisation for endometri…

OBJECTIVE: To critically evaluate the evidence linking endometriosis to ovarian cancer, with particular focus on endometrioid and clear cell histologic subtypes, and to inform risk stratification and patient counseling. METHODS: A systemat…

OBJECTIVE: Surgery is a therapeutic option for patients with deep endometriosis presenting with infertility and/or pain refractory to medical treatment. Major postoperative complications may impair quality of life and delay the initiation o…

STUDY OBJECTIVE: To present how robotic excision of deep endometriosis involving the superior gluteal nerve may be safely and efficiently performed using robotic assistance. DESIGN: Video article presenting a surgical technique. SETTING: …

OBJECTIVE: To present a standardized and reproducible ten-step approach to ileocolonic anastomosis with natural orifice specimen extraction (NOSE) in the context of laparoscopic or robotic surgery for deep endometriosis. DESIGN: Surgical v…

OBJECTIVE: Excision of deep infiltrating endometriosis in the parametrium involving pelvic nerves can be challenging and requires good anatomical knowledge and surgical strategy [1]. Based on our experience, we have identified two important…

INTRODUCTION: Advanced endometriosis (Stage III/IV) represents a particularly severe variant of endometriosis with more pronounced symptomatology and challenging surgical treatment. This review shall examine the role of robotic surgery, the…

INTRODUCTION: Digestive endometriosis represents the most common form of deep endometriosis, significantly impacting patients' quality of life. The optimization of its surgical management has been marked by major technological advances. Thi…

Endometriosis is a debilitating disease that affects millions worldwide [...].

BACKGROUND: An average time to diagnosis of 7 years is commonly described for endometriosis; diagnostic delay for adenomyosis is unknown. This cross-sectional study aimed to describe diagnostic delay for endometriosis and adenomyosis and to…

OBJECTIVE: We conducted a comparative retrospective bicentric study of rectal endometriosis treatment with high-intensity focused ultrasound (HIFU) and surgery in terms of symptoms and treatment-related morbidity at 6 months. METHODS: All …

The assessment of the ovarian reserve is important in patients with fertility intent. The anti-Müllerian hormone (AMH) serum level is a useful ovarian reserve marker. Endometriosis is a benign disease with three phenotypes: superficial peri…

BACKGROUND: Pudendal neuralgia caused by entrapment syndrome (PNE) is an underdiagnosed condition with severe quality of life (QoL) impact. In cases unresponsive to medical treatment, a minimally invasive surgical approach, such as laparosc…

STUDY OBJECTIVE: To show that the laparoconversion in an emergency because of intraoperative complications does not require irreversibly abandoning the robotic procedure. SETTING: Tertiary referral center. PARTICIPANTS: A young patient wi…

OBJECTIVE: To evaluate postoperative fertility outcomes and recurrence rates in patients undergoing laparoscopic ethanol sclerotherapy for endometriomas, combined with the resection of deep endometriosis lesions. METHODS: A retrospective c…

INTRODUCTION: Endometriosis affects 5-10% of women during reproductive years, with a 20-30% incidence among those with infertility. Deep infiltrating endometriosis (DIE) affects 10-15% of women of childbearing age and 50% of infertile women…

Assessment of ovarian reserve is important in patients with fertility intention. Anti-Müllerian Hormone (AMH) serum levels are a useful ovarian reserve marker. Endometriosis is a benign disease with three phenotypes: superficial peritoneal …

BACKGROUND: Diagnosis of endometriosis is a challenge. The recent development of a saliva-based micro-ribonucleic acid (miRNA) signature for the diagnosis of endometriosis may enable a timelier and less invasive approach, but this requires …

To define the risk factors of post-operative voiding dysfunction according to the type of surgical procedure performed. A systematic review through PubMed, the Cochrane Library, and Web of Science databases was performed. The Medical Subjec…