Techniques in minimally invasive surgery for advanced endometriosis

Cara R King, Deirdre Lum
Current opinion in obstetrics & gynecology · 2016 · vol. 28(4) , pp. 316–322 · doi:10.1097/gco.0000000000000291 · PMID:27273310 · W2415842299
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This review outlines preoperative assessment and minimally invasive surgical techniques for deeply infiltrating endometriosis, emphasizing meticulous dissection, imaging, and multidisciplinary teams to optimize outcomes and prevent recurrence.

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Abstract

PURPOSE OF REVIEW: Surgery can be an important treatment option for women with symptomatic endometriosis. This review summarizes the recommended preoperative work up and techniques in minimally invasive surgery for treatment of deeply infiltrating endometriosis (DIE) involving the obliterated posterior cul-de-sac, bowel, urinary tract, and extrapelvic locations. RECENT FINDINGS: Surgical management of DIE can pose a challenge to the gynecologic surgeon given that an extensive dissection is usually necessary. Given the high risk of recurrence, it is vital that an adequate excision is performed. With improved imaging modalities, preoperative counseling and surgical planning can be optimized. It is essential to execute meticulous surgical technique and include a multidisciplinary surgical team when indicated for optimal results. SUMMARY: Advanced laparoscopic skills are often necessary to completely excise DIE. A thorough preoperative work up is essential to provide correct patient counseling and incorporation of the preferred surgical team to decrease complications and optimize surgical outcomes. Surgical management of endometriosis is aimed at ameliorating symptoms and preventing recurrence.

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Condition tags

mesh:D004715mesh:D017699endometriosisdie_deep_infiltrating

MeSH descriptors

Digestive System Surgical Procedures Endometriosis Laparoscopy Minimally Invasive Surgical Procedures Postoperative Complications Douglas' Pouch Douglas' Pouch Douglas' Pouch Endometriosis Endometriosis Endometriosis Female Humans Intestinal Diseases Intestinal Diseases Intestinal Diseases Pelvic Pain Postoperative Complications Rectal Diseases Rectal Diseases

Citation neighborhood

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.

References (55)

Cited by (6)

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License: CC0 · commercial use OK