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
Case report OA: closed CC0 ⤵ 1 in-corpus citation
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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

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 ]

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