Surgical Treatment of Deep Endometriosis
This paper reviews the definition, diagnosis, and treatment of deep endometriosis, drawing on multiple studies and guidelines.
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This chapter discusses surgical treatment of deep endometriosis, focusing on definition, diagnostic approaches used for surgical planning, and operative strategies across common deep locations (e.g., bowel, bladder/urinary tract, ureter) and related considerations such as nerve involvement and postoperative outcomes. It synthesizes evidence from clinical studies and guidelines, including comparisons of excisional versus ablative approaches, different bowel resection techniques versus shaving, and the use of imaging (including 3.0-T MRI) to guide operative decisions. A key caveat is that the presented material is largely a narrative overview of heterogeneous studies and techniques rather than a single controlled investigation, and complication and functional outcome reporting varies by procedure and anatomical site. This paper is centrally about endometriosis — it provides a chapter-level review of surgical treatment options for deep endometriosis, including diagnostic planning and technique-specific outcomes.
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