Tailoring radicality in demolitive surgery for deeply infiltrating endometriosis

Luigi Fedele, Stefano Bianchi, Zanconato G, Giovanni Zanconato, Nicola Berlanda, Borruto F, Franco Borruto, Frontino G, Giada Frontino
American journal of obstetrics and gynecology · 2005 · vol. 193(1) , pp. 114–117 · doi:10.1016/j.ajog.2004.12.085 · PMID:16021068 · W2058952134
Other OA: closed CC0 ⤵ 59 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This paper explores variations in surgical approaches to deeply infiltrating endometriosis, focusing on the extent of tissue removal and its impact.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVE: The purpose of this study was to compare the outcome of standard extrafascial hysterectomy and tailored radical hysterectomy as a definitive treatment of recurrent deep endometriosis. STUDY DESIGN: This was a descriptive study that comprised 38 patients who underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy between 1989 and 2002 for symptomatic recurrences of deep endometriosis, after>or=1 previous surgical procedures and ovarian suppressive medical treatments. After the operation, all of the patients were given transdermal estradiol. The minimum follow-up time was 24 months. RESULTS: Twenty-six patients underwent standard extra-fascial hysterectomy (group A), and 12 patients underwent modified radical hysterectomy that included the removal of all deeply infiltrating endometriotic lesions (group B). The recurrence of pain caused by endometriosis occurred in 8 women (31%) of group A and in no patients of group B. CONCLUSION: Definitive surgery for deep endometriosis should include the removal of the uterus, adnexa, and all surgically accessible deep lesions. As a consequence, the surgeon must be familiar with radical pelvic surgery.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Fallopian Tubes Hysterectomy Ovariectomy Ovariectomy Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis Fallopian Tubes Fallopian Tubes Female Female Follow-Up Studies Follow-Up Studies Humans Humans Hysterectomy

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (12)

Cited by (50)

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: 2026-10-08T21:03:18.265172+00:00
License: CC0 · commercial use OK