Termino-terminal Ureteral Laparoscopic Anastomosis in a Case of Deep Infiltrating Endometriosis

Avilés R, Raimundo Avilés, Raimundo Avilès Dorlhiac, Bustos B, Benjamín Bustos, Pauline Chauvet, Chauvet P, François M, Marie François, Michel Canis, Nicolas Bourdel, Bourdel N
Journal of minimally invasive gynecology · 2019 · vol. 27(6) , pp. 1251–1252 · doi:10.1016/j.jmig.2019.11.017 · PMID:31790810 · W2991647589
article OA: bronze CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-07, 2026-07-17 ⓘ

This video demonstrates a laparoscopic termino-terminal ureteral anastomosis technique for treating deep infiltrating endometriosis causing ureteral stenosis and hydroureteronephrosis.

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Abstract

Study objectiveLaparoscopic termino-terminal ureteral anastomosis has all the advantages of a minimally invasive approach in addition to the treatment of the pathologic condition [1]. Ureteral deep endometriosis can lead to severe consequences, such as hydroureteronephrosis and renal failure [2,3]. The main objective of this video is to present our surgical strategy and technique for cases of ureteral deep infiltrating endometriosis, which could help surgeons to understand and perform this surgery in a safe way in patients.DesignVideo demonstration of the technique.SettingFrench university tertiary-care hospital.InterventionsThis video presents a termino-terminal laparoscopic ureteral anastomosis and shows our team's strategy for surgical treatment in a 42-year-old woman with deep infiltrating ureteral left endometriosis, with consequent stenosis and left hydroureteronephrosis. A full resection of the endometriotic ureteral nodule was performed, followed by a termino-terminal anastomosis of the ureter. The use of intravenous indocyanine green to assess the postanastomotic ureteral perfusion and its risk of leakage or fistula are described in the video [2-5].ConclusionUreteral endometriosis can lead to severe consequences, and the surgical treatment can be difficult and, most times, incomplete. This video gives a detailed example of the strategy our team used to perform a termino-terminal ureteral laparoscopic anastomosis in a structured way.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Laparoscopy Ureter Ureteral Diseases Adult Anastomosis, Surgical Anastomosis, Surgical Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Laparoscopy Ureter Ureter Ureteral Diseases Ureteral Diseases

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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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (2)

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License: CC0 · commercial use OK