Surgery for deep infiltrating endometriosis: technique and rationale

This paper reviews the authors’ current surgical technique for deep infiltrating endometriosis, focusing on the rationale and “tricks” meant to make the approach reproducible and potentially improvable by other surgeons. It frames deep infiltrating endometriosis surgery as complex and describes a care model centered on referral to tertiary centers with multidisciplinary teams (gynecology, colorectal surgery, and urology) and advanced laparoscopic training. The key finding is a detailed presentation of the technique as a critical factor for managing disease and minimizing complication risk. The paper notes a major caveat that surgical technique details are rarely taught or described extensively, motivating this review. This paper is centrally about endometriosis — it provides a technique-and-rationale review specifically for deep infiltrating endometriosis surgery.

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