TY - JOUR
T1 - Excision of triple compartment deep infiltrating endometriosis with visceral involvement
AU - Reddy, Himabindu
AU - Dellacerra, Gary
AU - Malcher, Flavio
AU - Plewniak, Kari
AU - Arabkhazaeli, Moona
AU - Sankin, Alexander
AU - Lerner, Veronica
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/12
Y1 - 2022/12
N2 - Background: Excision of multi-compartment deep infiltrating endometriosis with visceral involvement is challenging. We illustrate an interdisciplinary approach to complete minimally invasive excision in a single surgery. Case: We present a case of deep infiltrating endometriosis with visceral involvement in the anterior, middle, and posterior compartments. A collaborative surgical approach was taken with gynecologic, colorectal, and urologic surgeons to perform a robot-assisted total laparoscopic hysterectomy, bilateral salpingectomy, ovarian cystectomy, and unilateral oophorectomy with concurrent segmental resection of rectosigmoid and excision of transmural bladder and vaginal nodules. Conclusion: Thorough preoperative evaluation and an interdisciplinary approach to surgical planning involving radiology, gynecology, colorectal surgery, and urology allowed for complete simultaneous resection of bladder, rectosigmoid, and pelvic deep infiltrating endometriosis without complications via a minimally invasive route.
AB - Background: Excision of multi-compartment deep infiltrating endometriosis with visceral involvement is challenging. We illustrate an interdisciplinary approach to complete minimally invasive excision in a single surgery. Case: We present a case of deep infiltrating endometriosis with visceral involvement in the anterior, middle, and posterior compartments. A collaborative surgical approach was taken with gynecologic, colorectal, and urologic surgeons to perform a robot-assisted total laparoscopic hysterectomy, bilateral salpingectomy, ovarian cystectomy, and unilateral oophorectomy with concurrent segmental resection of rectosigmoid and excision of transmural bladder and vaginal nodules. Conclusion: Thorough preoperative evaluation and an interdisciplinary approach to surgical planning involving radiology, gynecology, colorectal surgery, and urology allowed for complete simultaneous resection of bladder, rectosigmoid, and pelvic deep infiltrating endometriosis without complications via a minimally invasive route.
KW - Deep infiltrating endometriosis
KW - bladder surgery
KW - hysterectomy
KW - laparoscopy
KW - rectal surgery
KW - triple compartment
KW - visceral involvement
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U2 - 10.1177/22840265221146479
DO - 10.1177/22840265221146479
M3 - Article
AN - SCOPUS:85146169222
SN - 2284-0265
VL - 14
SP - 217
EP - 222
JO - Journal of Endometriosis and Pelvic Pain Disorders
JF - Journal of Endometriosis and Pelvic Pain Disorders
IS - 4
ER -