Excision of triple compartment deep infiltrating endometriosis with visceral involvement

Himabindu Reddy, Gary Dellacerra, Flavio Malcher, Kari Plewniak, Moona Arabkhazaeli, Alexander Sankin, Veronica Lerner
In: Journal of Endometriosis and Pelvic Pain Disorders · 2022 · vol. 14(4) , pp. 217–222 · doi:10.1177/22840265221146479 · W4313892114
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper presents a case of minimally invasive, interdisciplinary robotic surgery for complete excision of deep infiltrating endometriosis involving the bladder, rectosigmoid, and vaginal compartments.

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Abstract

Background: Excision of multi-compartment deep infiltrating endometriosis with visceral involvement is challenging. We illustrate an interdisciplinary approach to complete minimally invasive excision in a single surgery. Case: We present a case of deep infiltrating endometriosis with visceral involvement in the anterior, middle, and posterior compartments. A collaborative surgical approach was taken with gynecologic, colorectal, and urologic surgeons to perform a robot-assisted total laparoscopic hysterectomy, bilateral salpingectomy, ovarian cystectomy, and unilateral oophorectomy with concurrent segmental resection of rectosigmoid and excision of transmural bladder and vaginal nodules. Conclusion: Thorough preoperative evaluation and an interdisciplinary approach to surgical planning involving radiology, gynecology, colorectal surgery, and urology allowed for complete simultaneous resection of bladder, rectosigmoid, and pelvic deep infiltrating endometriosis without complications via a minimally invasive route.

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Condition tags

endometriosisdie_deep_infiltrating

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