Systematic Laparoscopic Surgery for Complete Obliteration of the Cul-de-sac

Yoshiaki Ota, M. Andou, K. Ebisawa, Kazuko Fujiwara, Tomonori Hada, Hiroyuki Kanao, Ikuko Ota
In: Endometriosis · 2014 · pp. 399–409 · doi:10.1007/978-4-431-54421-0_24 · W351660442
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This paper discusses laparoscopic surgery as an ideal, minimally invasive option for treating deep infiltrating endometriosis causing complete cul-de-sac obliteration and pelvic pain.

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This chapter discusses laparoscopic surgical management of deep infiltrating endometriosis affecting the sacral ligaments around the uterus, specifically for cases with complete cul-de-sac obliteration. It describes an approach of “systematic surgery” aimed at safely and widely removing deeply infiltrating disease to reduce pain recurrence, noting laparoscopic surgery’s minimal invasiveness and ability to achieve an adequate surgical field depth. The text highlights prevention of recurrence and mentions postoperative education as an ideal way to maintain surgical effects, but it does not present new original study data or explicit outcome statistics in the provided content. This paper is centrally about endometriosis — it focuses on systematic laparoscopic dissection/excision for deep infiltrating endometriosis causing complete cul-de-sac obliteration.

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Abstract

Endometriosis has been reported as a major cause of pelvic pain. Most notably, deep infiltrating endometriosis is a very active disease that occurs in 20 % of women with endometriosis. We have been actively dissecting deep infiltrating diseased areas within the sacral ligaments around the uterus in order to improve dysmenorrhea and chronic pelvic pain caused by deep infiltrating endometriosis. Laparoscopic surgery is an ideal option to treat deep infiltrating endometriosis involving complete cul-de-sac obliteration due to its minimal invasiveness and ability to achieve an appropriate depth of surgical field. It is important to prevent pain recurrence by providing systematic surgery and removing the deep infiltrating endometriosis safely and widely. To reduce recurrence, it is ideal to provide postoperative education to maintain the effect of surgery. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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