Resection of the posterior vaginal fornix and retrocervical endometriotic lesions in the median part of the pelvis

Kiyohiko Yamada, Chika Nishizawa, Natsuyuki Fujisawa, Masayuki Soda, Hideaki Itoh
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2022 · vol. 38(2) , pp. 246–256 · doi:10.5180/jsgoe.38.2_246 · W4317924095
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study details a laparoscopic technique for resecting posterior vaginal fornix and retrocervical endometriotic lesions and assesses its efficacy for pain relief.

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

This retrospective observational study evaluated a laparoscopic surgical technique for resecting endometriotic lesions located in the median pelvis, specifically lesions on the posterior vaginal fornix and retrocervical region, using a trapezoidal incision in the median pelvic peritoneum. Among 639 patients who underwent surgery between 2005 and 2016, dysmenorrhea and chronic pelvic pain assessed by 10-cm VAS scores improved substantially after surgery, with 84.6% achieving VAS thresholds below 4 for dysmenorrhea and below 2 for chronic pelvic pain. Complications such as vaginal lacerations and burns occurred in 18 cases without serious organ injury, but pain recurrence was reported in 26.5% of patients. The study’s main limitation is its retrospective design. This paper is centrally about endometriosis—featuring laparoscopic resection of posterior vaginal fornix and retrocervical endometriotic lesions in the median pelvis and its association with pelvic pain outcomes.

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Abstract

Objective: To describe the laparoscopic surgical procedure for the removal of endometriotic lesions in the median part of pelvis and the efficacy of the procedure on pain relief.

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