Laparoscopic removal of endometriosis in the pouch of Douglas
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Laparoscopic excision of endometriosis in the pouch of Douglas improved pain in 24 of 26 patients previously treated unsuccessfully, potentially avoiding hysterectomy.
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Abstract
Twenty-six patients with endometriosis in the pouch of Douglas were treated by laparoscopic excisional surgery; previous medical and surgical therapy had failed in 24 of them. Endometriosis in the pouch of Douglas occurred infrequently in association with bladder or ovarian endometriosis. Coital and rectal pain were markedly reduced or cured 6 months after surgery in all except 2 patients. Laparoscopic surgical excision of endometriosis is indicated when drug or other surgical treatments fail and may avoid the need for hysterectomy in some patients.
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References (4)
- Conservative laparoscopic excision of endometriosis by sharp dissection: life table analysis of reoperation and persistent or recurrent disease via openalex
- W1984505924 via openalex
- W2291960606 via openalex
- W2399797405 via openalex
Cited by (12)
- Rectal endometriosis: results of radical excision and review of published work 2007
- Avaliação dos resultados do tratamento cirúrgico de pacientes portadoras de endometriose do septo retovaginal 2005
- Surgical management of deeply infiltrating endometriosis: an update 2004
- [Deep pelvic endometriosis: management and proposal for a "surgical classification"] 2003
- Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification 2003
- Management of deep endometriosis 2001
- Laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum 2001
- Laparoscopic surgery for endometriosis: a long-term follow-up 2000
- The diagnosis and management of infiltrating nodular recto-vaginal endometriosis 2000
- Laparoscopic anterior resection of the rectum and hysterectomy in a patient with extensive pelvic endometriosis 1998
- Excision of endometriosis in the pouch of Douglas by combined laparovaginal surgery using the Maher abdominal elevator 1995
- Replacement of Abdominal Hysterectomy by the Laparovaginal Technique – Its Success and Limitations 1994
Source provenance
- europepmc
- last seen: 2026-10-13T06:10:10.580696+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:59:25.815134+00:00
- unpaywall
- last seen: 2026-10-13T06:25:51.201866+00:00
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