STANDARDIZATION OF LAPAROSCOPIC TREATMENT PATIENTS WITH DEEP INFILTRATIVE ENDOMETRIOSIS

Despite the success of medical treatment of endometriosis, in cases of deep infiltrative endometriosis (DIE) accompanied by resistant pelvic pain and (or) infertility surgical treatment remains the method of choice.The aim of the study: standardization of methods and techniques of laparoscopic treatment of GIE using different surgical energies.Material and research methods. We conducted a retrospective analysis of cases of laparoscopic treatment of 126 patients with deep infiltrative endometriosis (DIE).The results and discussion: Standardized laparoscopic surgery for DIE included: laparoscopic revision of the pelvic and abdominal cavities; visceroadhesiolysis, DIE verification, identefication of ureteral; surgical treatment of endometriomas; lateral and (or) central resection of the peritoneum, resection of noduls of endometriosis, and, if necessary, sigmoid resection with the anastomosis. The use of the modern surgical energies in the standardized treatment of DIE helped to reduce the incidence of postoperative hyperthermia, intestinal paresis, prolonged drainage of the abdominal cavity, the length of stay in the hospital.Conclusions. Standardization of laparoscopic treatment of D IE using the latest surgical energies helps to improve the postoperative period, reduce the frequency of postoperative complications, length of hospital stay, which indicates the clinical and cost effectiveness of this surgical approach in the treatment of deep infiltrative endometriosis.