William Kondo

Clinical History: A 32-year-old woman with a history of left endometrioma resection via laparotomy 8 years prior to the current treatment presented with no urinary symptoms. However, she reported features consistent with deep infiltrating e…

Endometriosis is a chronic, estrogen-dependent inflammatory disease influenced by complex neuroimmune interactions and pain chronification mechanisms. Modern medical management is increasingly guided by a deeper understanding of neuroinflam…

BACKGROUND: Deep endometriosis (DE) with intestinal involvement occurs in up to 16% of patients with endometriosis, representing one of the most challenging manifestations of the disease. OBJECTIVES: To describe a laparoscopic technique fo…

The management of infertility in women with bowel endometriosis remains a significant clinical challenge. The two primary therapeutic approaches include first-line medically assisted reproduction (MAR) and primary bowel surgery, with or wit…

BACKGROUND: Deep infiltrating endometriosis (DIE) is a severe condition which requires innovative surgical approaches to address complex anatomical distortions, reduce operative risks, and enhance outcomes. OBJECTIVES: To demonstrate the e…

Background: Management of endometriosis should be based on the best available evidence. The pyramid of evidence reflects unbiased observations analysed with traditional statistics. Evidence-based medicine (EBM) is the clinical interpretatio…

Abstract Objective To investigate the clinical course and management of abdominal wall endometriosis (AWE). Methods A retrospective study was carried out from January 2010 to December 2020, at Vita‐Nações Hospitals, Curitiba, Brazil, in ord…

STUDY QUESTION: How is endometriosis extent described by the #Enzian classification compared to the revised American Society for Reproductive Medicine (rASRM) stages in women undergoing radical surgery for deep endometriosis (DE)? SUMMARY A…

ABSTRACT Objective To compare the preoperative detection of endometriosis using transvaginal sonography (TVS) supplemented by transabdominal sonography (TAS) with surgical assessment of disease, using the #Enzian classification for endometr…

BACKGROUND: This study aims to identify the presence of estrogen and progesterone hormone receptors in endometriosis implants and to determine whether hormone treatment influences the receptors in these implants. METHODS: Cross-sectional st…

BACKGROUND: Whilst some imaging signs of endometriosis are common and widely accepted as 'typical', a range of 'subtle' signs could be present in imaging studies, presenting an opportunity to the radiologist and the surgeon to aid the diagn…

BACKGROUND: Deep endometriosis most commonly involves the rectosigmoid junction and its management often requires a colorectal resection. Anastomotic leakage is a severe complication after resection and affects 1-6% of the cases. OBJECTIVE:…

The present review aims to analyse the current data available on the feasibility, safety and effectiveness of the minimally invasive surgical (MIS) treatment of diaphragmatic endometriosis (DE). Through the use of PubMed and Google Scholar …

STUDY OBJECTIVE: To demonstrate the application of the so-called reverse technique to approach deep infiltrating endometriosis nodules affecting the retrocervical area, the posterior vaginal fornix, and the anterior rectal wall. In Video 1,…