Treatment of Endometriosis of the Cul-de-Sac
The cul-de-sac is the most common pelvic site for endometriosis, requiring gynecologic surgeons to be proficient in its identification and treatment.
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This chapter discusses treatment strategies for endometriosis located in the cul-de-sac, noting that this pelvic area is commonly involved and is clinically important. Drawing on historical changes in understanding, it describes how peritoneal disease (more than ovarian involvement) was recognized as more prevalent than earlier interpretations, and it emphasizes the need for gynecologic surgeons to identify and manage cul-de-sac endometriosis. A key limitation is that the provided text is primarily narrative/educational and does not present new original patient data, outcomes, or a methodological framework. This paper is centrally about endometriosis — specifically treatment of cul-de-sac endometriosis and the importance of recognizing peritoneal involvement.
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Cited by (6)
- The Role of Ultrasound in the Evolving Landscape of Precision Imaging of Endometriosis 2025
- Laparoscopic Excision of Lesions Suggestive of Endometriosis or Otherwise Atypical in Appearance: Relationship Between Visual Findings and Final Histologic Diagnosis 2008
- Is rectovaginal endometriosis a progressive disease? 2004
- Quality of life following radical excision of rectovaginal endometriosis associated with complete obliteration of the posterior cul de sac 2001
- Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en bloc resection 2001
- Predictive value of ovarian endometriosis? 2000
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