Treatment of endometriosis associated with pain

Paolo Vercellini, Giorgio Aimi, Fabio Amicarelli, Annalisa Abbiati, Raffaella Daguati, Giussy Barbàra
In: Reconstructive and Reproductive Surgery in Gynecology · 2010 · pp. 96–124 · doi:10.3109/9781841847573-11 · W2481489054
book-chapter OA: closed CC0 ⤵ 20 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper describes essential surgical dissection techniques for pelvic anatomy, including grasp and tent, incision, push and spread, traction, rotation, and blunt wiping, which can be enhanced by hydrodissection.

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Abstract

There are several techniques that the operator must master. These techniques of surgical dissection are the same in any area of the pelvis irrespective of the route of entry to that anatomic area, whether by laparotomy, laparoscopy, or per vaginum. The techniques are grasp and tent, “mm” incisions under clear visual control, push and spread, traction and countertraction, rotation and counterrotation of the grasped tissue, and gentle wiping of tissue by judicious blunt dissection. Some of these techniques can be facilitated by the technique of hydrodissection. Hydrodissection is the injection of sterile fluid into the tissues to be dissected, in order to tent and thin these tissues. Again, these dissection techniques must be performed slowly and deliberately in small 1-mm increments.

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Condition tags

endometriosis

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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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last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK