Tailoring radicality in diaphragmatic surgery for deep endometriosis: A matter of choice

Marcello Ceccaroni, Ceccaroni M, D'Ancona G, Gianmarco D’Ancona, Gianmarco D'Ancona, Giovanni Roviglione, Roviglione G, Sarah Choi, Choi S, Tommaso Capezzuoli, Capezzuoli T, Andrea Puppo, Puppo A, Ա. Ա. Դրամպյան, Drampyan A, Ashot Drampyan, Barra F, Fabio Barra
Best practice & research. Clinical obstetrics & gynaecology · 2024 · vol. 95 , pp. 102499 · doi:10.1016/j.bpobgyn.2024.102499 · PMID:38710608 · W4396618041
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reviews the surgical decision-making process for diaphragmatic endometriosis, focusing on balancing radicality and patient-specific factors.

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Abstract

Diaphragmatic endometriosis (DpE) is a rare disease localization which represents an important clinical challenge. The main criticisms toward the proper DpE management consist of poor consensus on both surgical indications and the choice between different surgical techniques available to treat the disease. Furthermore, only weak recommendations are provided by current guidelines and surgical management is mostly based on surgeon's experience. As consequence, the lack of standardization about the surgical treatment led to the risk of under- or over-treatments in patients suffering from this form of endometriosis. The latest evidence-based data suggest to adopt a lesion-oriented surgical approach serving as a guide in daily surgical activities, in order to ensure a tailored radicality and reduce the rate of surgery-related complications. Diaphragmatic endometriosis surgery should be performed only by expert surgeons with an extensive oncogynecologic expertise since it represents a technically demanding procedure. A multidisciplinary approach is also mandatory in order to adequately select and treat these patients by minimizing the risk of additional morbidity.

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Condition tags

endometriosis

MeSH descriptors

Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm Diaphragm

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.

References (38)

Cited by (5)

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