Role and Technique of Nerve-Sparing Surgery in Deep Endometriosis

Marcello Ceccaroni, Roberto Clarizia, Linda Tebache
In: Journal of Endometriosis and Pelvic Pain Disorders · 2015 · vol. 8(4) , pp. 141–151 · doi:10.5301/je.5000255 · W2545964959
article OA: closed CC0 ⤵ 7 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This study reviewed anatomical and surgical data to conclude that nerve-sparing surgery for deep endometriosis is feasible, preserves pelvic visceral function, improves quality of life, and has similar recurrence rates to conventional surgery.

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Abstract

Background Nerve-sparing (NS) surgery reduces bowel, bladder and sexual dysfunction without decreasing surgical efficacy. Objectives This study aimed to summarize the anatomical and surgical data of NS technique and to review the post-operative outcomes after NS surgery for deeply infiltrating endometriosis (DIE). Data Sources Data were collected from published research articles from MEDLINE and the Cochrane Library databases. Conclusions, implications of key findings The NS technique approach for DIE seems to be feasible and reproductive. In comparison to the conventional surgery (CS), it seems to demonstrate better preservation of pelvic visceral function and an improvement in quality of life with same recurrence rates. The concept of preservation of autonomic nerves during surgical treatment of DIE should become standard in reference center.

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Condition tags

endometriosisdie_deep_infiltrating

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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