Surgical treatment in a large single center cohort of patients with deep infiltrating endometriosis (DIE)

This retrospective chart review analyzed 524 patients with deep infiltrating endometriosis (DIE) who underwent laparoscopic surgery at a single center (Tuebingen University Women’s Hospital) between 2005 and 2015, focusing on how DIE surgery was performed. The study found that laparoscopic surgery was used in all cases, with conversion to open surgery in 2.1% due to extensive adhesions from prior operations; mean operative time was 149.3 minutes, and complete resection was achieved in 98.6% of patients. Extended intestinal procedures were required in 42% of cases and urological procedures in 12.6%, including ureteral reimplantation in 4.2%. The main limitation is that it reports surgical characteristics retrospectively, without presenting recurrence, pain, or pregnancy follow-up outcomes. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis treated with laparoscopic surgical approaches and rates of complete resection.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works