Laparoscopic excision of deeply infiltrating endometriosis: a prospective observational study assessing perioperative complications in 244 patients
This prospective study examined perioperative complications in 244 patients undergoing laparoscopic excision of deeply infiltrating endometriosis, finding major complications in 1.2% and minor in 11.1%.
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This prospective observational case series evaluated perioperative complications in 244 women undergoing laparoscopic excision of deeply infiltrating endometriosis (DIE) at a tertiary referral center in Iran between 2013 and 2016, with data collected on demographics, intraoperative details, and postoperative outcomes up to 1 month. Radical laparoscopic excision of all visible DIE was performed, often requiring segmental or disc bowel resections/shaving and multidisciplinary colorectal and/or urological involvement in 29.6% of cases. Major postoperative complications occurred in 3 patients (1.2%) and minor complications in 27 patients (11.1%), with 1.6% conversion to laparotomy; most patients had stage IV disease. The study’s key limitation is that it lacks a control/comparator group and reports outcomes only to 1 month post-surgery. This paper is centrally about endometriosis — specifically perioperative safety/complication rates after laparoscopic excision of deeply infiltrating endometriosis.
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Cited by (6)
- Neurovascular architecture of deep endometriosis and postoperative pain outcomes after butterfly peritoneal excision, a prospective pilot study 2026
- Uterine Skeletonization in Modified Radical Hysterectomy for Deep Infiltrative Endometriosis: The SkeletonDIE Study 2025
- Excision of endometriosis – optimising surgical techniques 2021
- Feasibility of two robotic single‐site surgery techniques for adolescent endometriosis: Focal versus butterfly 2021
- A Detailed Study in Adenomyosis and Endometriosis: Evaluation of the Rate of Coexistence Between Uterine Adenomyosis and DIE According to Imaging and Histopathology Findings 2021
- Patient satisfaction with personal patient care (PPC) in the inpatient treatment of endometriosis 2019
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