Horace Roman

BACKGROUND: Chronic pelvic pain is a common and disabling condition in women living with endometriosis. Pharmacological and surgical treatments are not always effective at controlling pain and present important restrictions. Digital therape…

OBJECTIVE: To compare differences in the postoperative pregnancy rate in women seeking to conceive and presenting with endometriomas larger than 3 cm in diameter, which were managed by ablation using plasma energy, cystectomy, or simple dra…

OBJECTIVE: To present 10 standardized steps of the surgical management of diaphragmatic endometriosis using Da Vinci robotic assistance. DESIGN: Surgical education video. The local institutional review board confirmed that the video met et…

Endometriosis is a common gynaecological disease, causing symptoms such as pelvic pain and infertility. Accurate diagnosis and assessment are often challenging. Transvaginal ultrasound (TVS), along with magnetic resonance imaging (MRI), are…

ObjectiveTo review prospectively the clinical characteristics of patients suffering from urinary tract endometriosis (UTE) in France, in 2017.Study designWe conducted a prospective observational multicenter study including women managed sur…

IntroductionThe aim of this study was to assess a human cadaver model of sacral plexus dissection for learning about deep innervation in the female pelvis, and the latter's relationship with deep infiltrating endometriosis.MethodsThis was a…

Deep infiltrating endometriosis (DIE) is defined as the in­fil­tra­tion of endometriotic implants deeper than 5 mm from the peritoneal surface. When the lesions infiltrate the mus­cu­laris propria layer of the rectum or sigmoid, we talk abo…

Endometriosis is a disease of gynecologic origin, but its various localizations might lead to digestive and urinary tract, pelvic nerve, or diaphragm involvement. Ovarian endometrioma (OMA), one of the most frequent localizations of the gyn…

Study objectiveTo assess to what degree can digestive symptoms improve after endometriosis surgery for different localizations.DesignA comparative retrospective study employing data prospectively recorded in the North-West Inter-Regional Fe…

ObjectiveTo present 10 consecutive, standardized, and reproducible surgical steps allowing complete excision of deep endometriosis nodules infiltrating the parametrium and sacral roots.DesignSurgical video presenting the 10 surgical steps. …

Study ObjectiveTo present 10 standardized and reproducible surgical steps allowing for complete excision of deep endometriosis nodules involving the sciatic nerve.DesignSurgical education video. The local institutional review board confirme…

Colorectal deep infiltrative endometriosis (DIE) can have a major impact on patient’s health and quality of life. Surgical treatment of colorectal DIE varies depending on the location and characteristics of the lesions, which is why the pre…

AIM: The aim of this work was to assess whether placement of a biological mesh (Permacol® ) between the vaginal and rectal sutures reduces the rate of rectovaginal fistula in patients with deep rectovaginal endometriosis. METHOD: We report…

INTRODUCTION: Although live surgeries are routinely included in surgical congress programs, they are the subject of an ongoing debate in terms of patient safety and teaching value. The goal of our study was to assess the risk of postoperati…

Ovarian endometriosis is a frequent chronic gynecological disease with an uncertain evolution regarding its progression or association with ovarian malignant lesions. The present review summarized the histological aspects, gene expression a…

Morbidity and mortality alone are not comprehensive measures of evaluating the benefits of surgical interventions in endometriosis patients, thus, subjective patient-reported instruments are required. The 36-tem Short Form Survey (SF-36) is…

The complete excision of low rectovaginal deep endometriosis is a demanding surgery associated with an increased risk of intra- and postoperative complications, which can impact the quality of life. Given the choices of optimal surgery proc…

Study objectiveTo assess whether a liberal policy of preventive stoma (LPS) reduces the rate of rectovaginal fistulas in women with excision of deep endometriosis requiring concomitant vaginal and rectal sutures in comparison with a more re…

Study objectiveTo assess the risk of low anterior resection syndrome (LARS) between women managed by either disk excision or rectal resection for low rectal endometriosis.DesignRetrospective study of a prospective database.SettingUniversity…

OBJECTIVE: To provide a snapshot of the surgical management of endometriosis in French high-volume activity centers. METHODS: Analysis of prospectively collected data between November 2015 and May 2017 in 21 centers with a high volume of e…

STUDY OBJECTIVE: To describe the surgical management and risks of postoperative complications of patients with urinary tract endometriosis in France in 2017. DESIGN: Multicenter retrospective cohort pilot study. SETTING: Departments of gy…

OBJECTIVE: To assess the impact of type of surgery for colorectal endometriosis-rectal shaving or discoid resection or segmental colorectal resection-on complications and surgical outcomes. DATA SOURCES: We performed a systematic review of…