Outcome of conservative surgical treatment of deep infiltrating endometriosis

S. Gordts, Patrick Puttemans, Rudi Campo, Marion Valkenburg, Stephan Gordts
In: Gynecological Surgery · 2012 · vol. 10(2) , pp. 137–141 · doi:10.1007/s10397-012-0766-0 · W2144313633
article OA: closed CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Laparoscopic shaving of deep infiltrating endometriosis resulted in a 1.4% complication rate and an 8% recurrence rate for pain symptoms.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study evaluated complications and symptom recurrence after laparoscopic shaving resection of deep infiltrating endometriosis in 74 women treated between 2004 and 2010 for pain and/or infertility, with nodules involving the rectovaginal septum and rectosigmoid in 86% of cases. Using scissors and bipolar/unipolar current, the authors reported a 1.4% postoperative severe complication rate (one intestinal perforation from thermal necrosis) and symptom recurrence in 8% of patients over a mean follow-up of 776 days, while pregnancy outcomes were also described. A key limitation is the retrospective design, incomplete follow-up (8 patients lost; only ≥1 year follow-up included for recurrence analysis), and a relatively short mean follow-up for assessing long-term recurrence. This paper is centrally about endometriosis — it specifically assesses outcomes and recurrence after laparoscopic shaving surgery for deep infiltrating endometriosis involving the rectovaginal space and bowel.

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endometriosisdie_deep_infiltrating

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