A laparoscopic surgery for deep infiltrating endometriosis and the review of literature

Liu SJ, S. J. Liu, Lv W, Wei Lv, W Lv
Clinical and experimental obstetrics & gynecology · 2016 · vol. 43(4) , pp. 616–618 · doi:10.12891/ceog3108.2016 · PMID:29734563 · W3024265344
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper describes a laparoscopic hysterectomy and deep pelvic nodule resection for deep infiltrating endometriosis and reviews literature on its management.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a single case of a 41-year-old woman with severe dysmenorrhea, dyspareunia, and chronic pelvic pain due to deep infiltrating pelvic and peritoneal endometriosis, including prior segmental colorectal resection three years earlier for colonic endometriosis causing large bowel obstruction. To support complete disease removal before surgery, the authors describe giving a gonadotropin-releasing hormone agonist in three periodic cycles, followed by laparoscopic hysterectomy, deep pelvic nodule resection, and pelvic adhesion releasing. The patient recovered after five days and reported no pain at three months’ follow-up, but the study is limited to a case report and short follow-up and does not provide broader efficacy estimates. This paper is centrally about endometriosis—deep infiltrating endometriosis—with focus on a specific laparoscopic surgical approach and preoperative GnRHa use alongside a literature review of surgical management.

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Abstract

Deep infiltrating endometriosis (DIE) is a complex disorder that affects 6% to 12% of all women in the reproductive age. In these cases, treatment is more difficult with possible incomplete pain relief and a considerable possibility of recurrence. Here, the authors report a case of a 41-year-old woman with a history of severe dysmenorrhea, dyspareunia, and chronic pelvic pain because of deep infiltrating pelvic and peritoneal endometriosis, who underwent segmental colorectal resection three years ago for large bowel obstruction due to colonic endometriosis. To ensure complete removal of the disease, the authors injected gonadotropin-releasing hormone agonist (GnRHa) in three periodic cycles before laparoscopic surgery. We performed laparoscopic hysterectomy and deep pelvic nodule resection and pelvic adhesion releasing. After five days of hospitalization, the patient recovered totally and was not experiencing any pain at three months' follow-up. Laparoscopic treatment has more become the standard of treatment for DIE. A review of the literature regarding pathology and physiology of DIE and surgical aspects of its management is undertaken. The authors would like to renew the current laparoscopic surgery in curing the DIE, as they believe that this is also a useful addition to the literature.
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Abstract

Deep infiltrating endometriosis (DIE) is a complex disorder that affects 6% to 12% of all women in the reproductive age. In these cases, treatment is more difficult with possible incomplete pain relief and a considerable possibility of recurrence. Here, the authors report a case of a 41-year-old woman with a history of severe dysmenorrhea, dyspareunia, and chronic pelvic pain because of deep infiltrating pelvic and peritoneal endometriosis, who underwent segmental colorectal resection three years ago for large bowel obstruction due to colonic endometriosis. To ensure complete removal of the disease, the authors injected gonadotropin-releasing hormone agonist (GnRHa) in three periodic cycles before laparoscopic surgery. We performed laparoscopic hysterectomy and deep pelvic nodule resection and pelvic adhesion releasing. After five days of hospitalization, the patient recovered totally and was not experiencing any pain at three months’ follow-up. Laparoscopic treatment has more become the standard of treatment for DIE. A review of the literature regarding pathology and physiology of DIE and surgical aspects of its management is undertaken. The authors would like to renew the current laparoscopic surgery in curing the DIE, as they believe that this is also a useful addition to the literature.

Keywords

- Deep infiltrating endometriosis - Gonadotropin-releasing hormone agonist - Laparoscopic surgery

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Condition tags

dyspareuniaendometriosischronic_pelvic_paindie_deep_infiltratingdysmenorrhea

MeSH descriptors

Endometriosis Hysterectomy Laparoscopy Adult Chronic Pain Chronic Pain Chronic Pain Dyspareunia Dyspareunia Dyspareunia Endometriosis Endometriosis Endometriosis Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Pelvic Pain Pelvic Pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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