Considerations for the Surgical Management of Diaphragmatic Endometriosis

Miguel Luna Russo, Mark Dassel, Dassel M, Daniel Raymond, Raymond D, Daniel P. Raymond, Elliott G. Richards, Elliott Richards, Richards E, Tommaso Falcone, Falcone T, King C, Cara R King, Cara King
Journal of Minimally Invasive Gynecology · 2020 · vol. 28(7) , pp. 1282 · doi:10.1016/j.jmig.2020.09.011 · PMID:32966891 · W3087740294
Other OA: closed CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-28 ⓘ

This paper discusses key considerations for surgically managing diaphragmatic endometriosis, a challenging condition often presenting with respiratory symptoms.

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Abstract

STUDY OBJECTIVE: The objective of this video is to review relevant surgical anatomy, resection and ablation methods, and techniques to optimize management of diaphragmatic endometriosis. DESIGN: Video footage of surgical anatomy and surgical technique. Institutional review board approval was not required. SETTING: Thoracic endometriosis lesions can involve the pleura, the lung, and the diaphragm. The prevalence of thoracic endometriosis is unknown, but most cases involve the diaphragm. A large percentage of patients are asymptomatic. Those who are symptomatic can present with cyclic shoulder pain, right upper quadrant pain, or catamenial pneumothorax. Symptomatic cases refractory to medical management or recurrence require surgical management [1,2]. Safe and efficient management of these cases depends on an experienced multidisciplinary team. In this video, the experiences and management tools used by our team are described. INTERVENTIONS: Laparoscopic management of primary and recurrent symptomatic diaphragmatic endometriosis. CONCLUSION: A multidisciplinary skilled team approach to the surgical management of diaphragmatic endometriosis to optimize outcomes is preferred.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Laparoscopy Laparoscopy Pneumothorax Pneumothorax Pneumothorax Diaphragm Diaphragm Diaphragm Female Female Humans Humans Lung Lung

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (4)

Cited by (6)

Source provenance

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License: CC0 · commercial use OK