A multidisciplinary, minimally invasive approach for complicated deep infiltrating endometriosis

Fertility and Sterility
Renato SeracchioliStefano Venturoli

Abstract

To present a case of complicated deep infiltrating endometriosis managed by a multidisciplinary minimally invasive approach. Case report. Tertiary care university hospital. A 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. 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. Multidisciplinary diagnosis and minimally invasive surgical approach to deep infiltrating endometriosis involving the rectum and the urinary tract. 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. 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.

References

Jan 10, 2002·Fertility and Sterility·Jacques DonnezJean Squifflet
Nov 15, 2006·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Chiara Del FrateChiara Zuiani
May 16, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·R SeracchioliS Venturoli
Jun 10, 2008·Human Pathology·Maha Al-KhawajaLiang Cheng
Jul 1, 2008·Journal of Minimally Invasive Gynecology·Renato SeracchioliStefano Venturoli
Feb 10, 2009·Fertility and Sterility·Luca CarmignaniLuigi Fedele

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Citations

Jan 8, 2013·Gynécologie, obstétrique & fertilité·M Dell'oroC Rubod
Apr 27, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jose L MuñozFernando Sánchez Bustos
Mar 3, 2012·The Journal of Obstetrics and Gynaecology Research·Alexandros RodolakisAris Antsaklis
Jul 9, 2010·Current Opinion in Obstetrics & Gynecology·Ricardo Mendes Alves PereiraDavid Redwine

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