A multidisciplinary, minimally invasive approach for complicated deep infiltrating endometriosis

Renato Seracchioli, Linda Manuzzi, Manuzzi L, Mohamed Mabrouk, Serena Solfrini, Solfrini S, Frascà C, Clarissa Frascà, Manferrari F, Fabio Manferrari, Pierangeli F, Filippo Pierangeli, Paradisi R, Roberto Paradisi, Stefano Venturoli, Venturoli S
Fertility and sterility · 2009 · vol. 93(3) , pp. 1007.e1–1007.e3 · doi:10.1016/j.fertnstert.2009.09.058 · PMID:19939374 · W2066711115
article OA: closed CC0 ⤵ 16 in-corpus citations
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This paper describes a multidisciplinary, minimally invasive surgical approach to treat complicated deep infiltrating endometriosis.

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Abstract

ObjectiveTo present a case of complicated deep infiltrating endometriosis managed by a multidisciplinary minimally invasive approach.DesignCase report.SettingTertiary care university hospital.PatientA 32-year-old woman with deep infiltrating endometriosis involving the rectovaginal septum, the rectum, and the left ureter, complicated by silent left renal function loss.Intervention(s)Laparoscopic left nephrectomy, ureterectomy, excision of a left ovarian endometrioma, removal of a large rectovaginal nodule, and segmental bowel resection with minilaparotomic end-to-end anastomosis.Main outcome measure(s)Multidisciplinary diagnosis and minimally invasive surgical approach to deep infiltrating endometriosis involving the rectum and the urinary tract.Result(s)Collaboration between gynecologists, urologists, and colorectal surgeons enabled a successful management of the case in one surgical intervention providing minor risk of complications, shorter hospital stay, and faster functional recovery.Conclusion(s)Deep infiltrating endometriosis is a global pathology that may involve different structures. A multidisciplinary, minimally invasive approach should be recommended to achieve appropriate disease management.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Hydronephrosis Minimally Invasive Surgical Procedures Nephrectomy Adult Anastomosis, Surgical Endometriosis Female Humans Hydronephrosis Intestines Intestines Ovary Ovary Rectum Rectum Ureter Ureter

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References (8)

Cited by (16)

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License: CC0 · commercial use OK