Laparoscopic and vaginal colpotomy for the excision of infiltrating cul-de-sac endometriosis.
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This study investigated combined laparoscopic and vaginal excision for deep cul-de-sac endometriosis, successfully treating five of seven patients with the approach.
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Abstract
Palpable endometriotic nodules deep in the cul-de-sac and vagina represent the extension of intraperitoneal disease. Although such nodules used to be excised with vaginal colpotomy and by tracing the endometriosis to the peritoneum, the dissection of these lesions under laparoscopic visualization had aided in their removal. Of seven patients who were approached with a plan for combined laparoscopic and vaginal excision, five underwent the procedure. The last two required laparotomy due to bowel muscularis involvement.
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Cited by (47)
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- Prise en charge chirurgicale des nodules endométriosiques de la cloison recto-vaginale. A propos d'une série continue de 40 cas 2002
- Research Aspects of Endometriosis Surgery 2002
- Retrocervical, Rectovaginal Pouch, and Rectovaginal Septum Endometriosis 2001
- Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en bloc resection 2001
- Laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum 2001
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- Biases in the endometriosis literature 1998
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- Diagnosis of deep endometriosis by clinical examination during menstruation and plasma CA-125 concentration 1996
- Diagnosis of deep endometriosis by clinical examination during menstruation and plasma CA-125 concentration. 1996
- Prevalence of Endometriosis in Rhesus (<i>Macaca mulatta</i>) Monkeys Ingesting PCB (Aroclor 1254): Review and Evaluation 1996
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- Buttonhole ulceration and perforation of the rectum 1993
- Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaparoscopy and the CO<sub>2</sub> laser 1992
- Conservative Surgical Treatment of Rectovaginal Septum Endometriosis 1992
- Carbon Dioxide Laser Laparoscopy for Endometriosis 1991
- The Choice of Therapy for the Operative Treatment of Endometriosis Is Endoscopic Laser Surgery 1991
- Increased Histologic Confirmation of Endometriosis 1990
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