Tigers in the Sidewall: Surgical Approaches to Excision of Lateral Deep Infiltrating Endometriosis.

Abstract:

OBJECTIVE:To describe the surgical approaches and excisional techniques used in an extreme case of deep infiltrating endometriosis (DIE) affecting the lateral pelvic side wall. DESIGN:A technical video showing the excision of advanced lateral DIE. SETTING:An academic tertiary care hospital. INTERVENTIONS:A 32-year-old woman, gravida 2, para 1, presented for definitive surgical management of endometriosis-associated pelvic pain. Intraoperative findings revealed severe retroperitoneal fibrosis tethering the external iliac vein, internal iliac artery, obturator nerve, medial umbilical ligament, and ureter. The patient underwent laparoscopic management of the DIE involving the lateral pelvic side wall. We demonstrate the surgical methods and tools required to overcome a unique endometriotic nodule that would not allow for traditional lysis of adhesions from the pelvic side wall. Instead, we used a nontraditional surgical approach by tunneling under the external iliac vascular to tackle the dissection from a lateral to medial direction to free the obturator nerve and internal iliac artery from the ureter and endometriotic nodule. CONCLUSION:Extreme cases of DIE involving the pelvic side wall require surgical finesse when normal planes of dissection are obliterated. Knowledge of retroperitoneal anatomy is critical to overcome unexpected lateral pelvic side wall endometriosis because the disease is rarely confined to the surface. Innovative surgical thinking complemented by an array of surgical tools will ultimately allow the surgeon to master these difficult endometriotic resections.

authors

Peters A,Rindos NB,Lee TTM

doi

10.1016/j.jmig.2019.06.019

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

259

issue

2

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(19)30309-7

journal_volume

27

pub_type

杂志文章
  • Reliability of visual diagnosis of endometriosis.

    abstract:OBJECTIVE:To determine whether accuracy of visual diagnosis of endometriosis at laparoscopy is determined by stage of disease. DESIGN:Prospective longitudinal cohort study (Canadian Task Force classification II-2). SETTING:Tertiary referral centers in three Australian states. PATIENTS:Of 1439 biopsy specimens, endom...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.04.017

    authors: Fernando S,Soh PQ,Cooper M,Evans S,Reid G,Tsaltas J,Rombauts L

    更新日期:2013-11-01 00:00:00

  • Oral estroprogestins after laparoscopic surgery to excise endometriomas: continuous or cyclic administration? Results of a multicenter randomized study.

    abstract:STUDY OBJECTIVE:To evaluate continuous (CON) compared with cyclic (CYC) administration of combined oral estroprogestins for 6 months after laparoscopic excision of ovarian endometriomas associated with pain. DESIGN:Multicenter, prospective, randomized trial (Canadian Task Force classification I). SETTING:Tertiary car...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jmig.2010.11.004

    authors: Muzii L,Maneschi F,Marana R,Porpora MG,Zupi E,Bellati F,Angioli R,Benedetti Panici P

    更新日期:2011-03-01 00:00:00

  • Martius graft for management of exposed vaginal prolapse mesh.

    abstract::Although the use of vaginal mesh kits in treatment of pelvic organ prolapse (POP) has decreased the number of surgical failures, mesh exposure can occur. When conservative management fails, removing the exposed material is associated with the risk of recurrence of POP and could be challenging. We report a successful o...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2012.10.007

    authors: Al-Badr A

    更新日期:2013-03-01 00:00:00

  • Laparoscopic myomectomy: clinical outcomes and comparative evidence.

    abstract::Laparoscopic myomectomy is a common surgical treatment for symptomatic uterine leiomyomas. Proponents of the laparoscopic approach to myomectomy propose that the advantages include shorter length of hospital stay and recovery time. Others suggest longer operative time, greater blood loss, increased risk of recurrence,...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2014.08.007

    authors: Buckley VA,Nesbitt-Hawes EM,Atkinson P,Won HR,Deans R,Burton A,Lyons SD,Abbott JA

    更新日期:2015-01-01 00:00:00

  • Myoma Imaging by Gynecologic Surgeons Training in Intraoperative Ultrasound Technique.

    abstract:STUDY OBJECTIVE:To compare preoperative transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI) with intraoperative ultrasound (IOUS) in surgeons first learning to use this technique. DESIGN:A prospective study of IOUS accuracy for mapping the size and location of myomas compared with TVUS or MRI (Canadian...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.jmig.2018.11.006

    authors: Bent RE,Wilson MD,Jacoby VL,Varon S,Parvataneni R,Saberi N,Waetjen LE

    更新日期:2019-01-01 00:00:00

  • Minilaparotomy hysterectomy assisted by self-retaining elastic abdominal retractor.

    abstract:STUDY OBJECTIVE:To verify the efficacy and safety of minilaparotomy hysterectomy using a self-retaining elastic abdominal retractor. DESIGN:Retrospective study (Canadian Task Force classification II-3). SETTING:Private hospital, department of obstetrics and gynecology. PATIENTS:One-hundred-fifty women, age 37 to 76 ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2006.06.030

    authors: Alcalde JL,Guiloff E,Ricci P,Solà V,Pardo J

    更新日期:2007-01-01 00:00:00

  • Robotic Transabdominal Cerclage vs Laparotomy: A Comparison of Obstetric and Surgical Outcomes.

    abstract:STUDY OBJECTIVE:To compare obstetric and surgical outcomes of transabdominal cerclage (TAC) via laparotomy (TAC-LAP) versus robotic-assisted (TAC-RA) approaches. DESIGN:Retrospective cohort study. SETTING:An academic medical center. PATIENTS:Sixty-nine women with acquired or congenital cervical insufficiency. INTER...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.08.014

    authors: Smith RB,Brink J,Hu C,Gerkin R,Perlow JH,Mourad J

    更新日期:2020-01-01 00:00:00

  • Importance of retroperitoneal ureteric evaluation in cases of deep infiltrating endometriosis.

    abstract:STUDY OBJECTIVE:To discuss our clinical and surgical experience with 30 cases of ureteral endometriosis. DESIGN:Retrospective analysis (Canadian Task Force classification II-3). SETTING:Tertiary care university hospital. PATIENTS:Records were assessed for all patients who underwent laparoscopic surgery for deep infi...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2008.03.005

    authors: Seracchioli R,Mabrouk M,Manuzzi L,Guerrini M,Villa G,Montanari G,Fabbri E,Venturoli S

    更新日期:2008-07-01 00:00:00

  • Equipment failure: causes and consequences in endoscopic gynecologic surgery.

    abstract:STUDY OBJECTIVE:To determine the incidence of equipment failure in gynecologic endoscopy and investigate causes and consequences. DESIGN:A prospective observational single-center study between January and April 2006. SETTING:Gynecologic surgery department of a university hospital. INTERVENTIONS:In all, 116 endoscopi...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2008.08.019

    authors: Courdier S,Garbin O,Hummel M,Thoma V,Ball E,Favre R,Wattiez A

    更新日期:2009-01-01 00:00:00

  • Clinical observation of a modified surgical method: posterior vaginal mesh suspension of female rectocele with intractable constipation.

    abstract:STUDY OBJECTIVE:To explore the feasibility and effectiveness of a modified posterior vaginal mesh suspension method in treating female rectocele with intractable constipation. DESIGN:Descriptive study (Canadian Task Force classification II-3). SETTING:The study was performed in the Study Center for Female Pelvic Dysf...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2012.06.004

    authors: Hong L,Li HF,Sun J,Zhu JL,Ai GH,Li L,Zhang B,Chi FL,Tong XW

    更新日期:2012-11-01 00:00:00

  • Termino-terminal Ureteral Laparoscopic Anastomosis in a Case of Deep Infiltrating Endometriosis.

    abstract:STUDY OBJECTIVE:Laparoscopic termino-terminal ureteral anastomosis has all the advantages of a minimally invasive approach in addition to the treatment of the pathologic condition [1]. Ureteral deep endometriosis can lead to severe consequences, such as hydroureteronephrosis and renal failure [2,3]. The main objective ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.11.017

    authors: Avilés R,Bustos B,Chauvet P,François M,Canis M,Bourdel N

    更新日期:2020-01-01 00:00:00

  • Anterior-apical single-incision mesh surgery (SIMS): surgical and functional outcomes at 1 year.

    abstract:STUDY OBJECTIVES:To study the surgical and functional outcomes of single-incision mesh surgery for treatment of advanced pelvic organ prolapse (POP). DESIGN:Case series (Canadian Task Force classification II-3). SETTING:University hospital. PATIENTS:Sixty-five patients who underwent surgery to treat symptomatic POP ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2014.07.002

    authors: Lo TS,Tan YL,Cortes EF,Pue LB,Wu PY,Al-Kharabsheh A

    更新日期:2015-01-01 00:00:00

  • Hysteroscopic Resection in Fertility-Sparing Surgery for Atypical Hyperplasia and Endometrial Cancer: Safety and Efficacy.

    abstract:STUDY OBJECTIVES:To evaluate the rate of intrauterine adhesions after hysteroscopic resection of hyperplastic and/or cancer areas and the efficacy of combined treatment. DESIGN:Observational retrospective study. SETTING:Patients affected by endometrial atypical hyperplasia of the endometrium or early stage endometria...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2015.06.004

    authors: De Marzi P,Bergamini A,Luchini S,Petrone M,Taccagni GL,Mangili G,Colombo G,Candiani M

    更新日期:2015-11-01 00:00:00

  • Bariatric Surgery: Does It Play a Role in Fertility-Preserving Treatment Among Obese Young Women With Endometrial Cancer?

    abstract::We present the case of a 17-year-old nulliparous woman with a history of obesity (body mass index 36.2 kg/m(2)), type 2 diabetes, and polycystic ovary syndrome, who was diagnosed with grade 1 endometrioid adenocarcinoma without radiological evidence of myometrial invasion or metastatic disease. After failure of a fert...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2015.03.017

    authors: Benito V,López-Tomassetti E,Esparza M,Arencibia O,Andújar M,Prieto M,Lubrano A

    更新日期:2015-07-01 00:00:00

  • Laparoscopic ureteroneocystostomy with psoas hitch.

    abstract:BACKGROUND AND PURPOSE:Laparoscopic extravesical ureteroneocystostomy is an infrequently described technique. Our aim is to describe five cases where we used the intracorporeal freehand suturing technique successfully for performing laparoscopic extravesical transperitoneal ureteral reimplantation with psoas hitch. We ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2006.03.016

    authors: Puntambekar S,Palep RJ,Gurjar AM,Sathe RM,Talaulikar AG,Agarwal GA,Kashyap M

    更新日期:2006-07-01 00:00:00

  • Laparoscopy for the management of early-stage endometrial cancer: from experimental to standard of care.

    abstract::We performed a search of PUBMED and MEDLINE for articles concerning surgical management of early stage endometrial cancer from 1950 to 2011. From the articles collected we extracted data such as estimated blood loss, operating room time, complications, conversion to laparotomy, and length of hospital stay. Forty-seven...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2012.02.006

    authors: Acholonu UC Jr,Chang-Jackson SC,Radjabi AR,Nezhat FR

    更新日期:2012-07-01 00:00:00

  • Laparoscopic ultrasound-guided radiofrequency volumetric thermal ablation of symptomatic uterine leiomyomas: feasibility study using the Halt 2000 Ablation System.

    abstract::Thirty-one women aged 28 to 51 years with symptomatic uterine leiomyomas who desired uterine preservation underwent outpatient laparoscopic, ultrasound-guided, radiofrequency volumetric thermal ablation using the Halt 2000 System. Postoperative follow-up occurred at 3, 6, and 12 months. The primary outcome measures we...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jmig.2011.02.006

    authors: Garza Leal JG,Hernandez Leon I,Castillo Saenz L,Lee BB

    更新日期:2011-05-01 00:00:00

  • Adnexal Torsion during Pregnancy: Outcomes after Surgical Intervention-A Retrospective Case-Control Study.

    abstract:STUDY OBJECTIVE:To investigate the pregnancy and neonatal outcomes of surgical treatment for adnexal torsion (AT) during pregnancy. DESIGN:A retrospective case-control study (Canadian Task Force classification II-2). SETTING:A tertiary care academic medical center. MEASUREMENTS AND MAIN RESULTS:The study group inclu...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.04.015

    authors: Daykan Y,Bogin R,Sharvit M,Klein Z,Josephy D,Pomeranz M,Arbib N,Biron-Shental T,Schonman R

    更新日期:2019-01-01 00:00:00

  • Effect of undiagnosed deep adenomyosis after failed NovaSure endometrial ablation.

    abstract:STUDY OBJECTIVE:To determine the prevalence of adenomyosis and deep adenomyosis after NovaSure (Hologic Inc., Newark, DE) endometrial ablation in hysterectomy specimens after NovaSure endometrial ablation failure. DESIGN:Prospective observational study (Canadian Task Force classification II-2). SETTING:The TweeSteden...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2014.10.006

    authors: Mengerink BB,van der Wurff AA,ter Haar JF,van Rooij IA,Pijnenborg JM

    更新日期:2015-02-01 00:00:00

  • Robotic-Assisted Laparoscopic Treatment of Residual Ectopic Pregnancy in a Previous Cesarean Section Scar: A Case Report.

    abstract:STUDY OBJECTIVE:To describe a technique of robotic-assisted laparoscopy of residual cesarean scar pregnancy (CSP) and uterine defect repair. DESIGN:Video case report, with step-by-step explanation of the procedure (Canadian Task Force classification III) SETTING: CSP may be treated by different approaches including su...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2016.08.815

    authors: Schmitt A,Crochet P,Agostini A

    更新日期:2017-01-01 00:00:00

  • A comparative study of hysteroscopic sterilization performed in-office versus a hospital operating room.

    abstract:STUDY OBJECTIVE:To compare hysteroscopic female sterilization procedures performed in-office versus a hospital operating room (OR) among newly trained physicians. DESIGN:Multisite hospital operating rooms and physician offices. PATIENTS:Women desiring permanent hysteroscopic sterilization. INTERVENTION:Hysteroscopic...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmig.2006.05.014

    authors: Nichols M,Carter JF,Fylstra DL,Childers M,Essure System U.S. Post-Approval Study Group.

    更新日期:2006-09-01 00:00:00

  • More with LESS: a novel report of nerve sparing radical hysterectomy performed using LESS.

    abstract::Laparoendoscopic single-site surgery (LESS) and natural orifice translumenal endoscopic surgery are now being used in gynecologic oncologic procedures. We used our expertise with LESS to perform nerve-sparing laparoscopic radical hysterectomy. A 45-year-old woman with stage IA2 cervical cancer was referred to us. The ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.04.019

    authors: Desai R,Puntambekar SP,Lawande A,Kenawadekar R,Joshi S,Joshi GA,Kulkarni S

    更新日期:2013-11-01 00:00:00

  • An evaluation of four tests used to ascertain Veres needle placement at closed laparoscopy.

    abstract:STUDY OBJECTIVE:To determine the reliability of four commonly used tests to confirm the placement of the Veres needle during closed laparoscopy and their ability to determine other complications of entry. DESIGN:A prospective observational study (Canadian Task Force classification II-2). SETTING:A university-affiliat...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2005.01.011

    authors: Teoh B,Sen R,Abbott J

    更新日期:2005-03-01 00:00:00

  • Technicity in Canada: A nationwide whole population analysis of temporal trends and variation in minimally invasive hysterectomies.

    abstract:STUDY OBJECTIVE:The objective of our study is to provide a contemporary description of hysterectomy practice and temporal trends in Canada. DESIGN:A national whole population retrospective analysis of data from the Canadian Institute for Health Information SETTING: Canada PATIENTS: All women who underwent hysterectomy...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2021.01.010

    authors: Chen I,Mallick R,Allaire C,Bajzak KI,Belland LM,Bougie O,Cassell KA,Choudhry AJ,Cundiff GW,Kroft J,Leyland NA,Maheux-Lacroix S,Rajakumar C,Randle E,Robertson D,Thiel JA,Tulandi T,Yong PJ,Laberge PY

    更新日期:2021-01-18 00:00:00

  • Diagnostic imaging modalities for Müllerian anomalies: the case for a new gold standard.

    abstract::Female reproductive tract anomalies are difficult to number in the general population but are often discovered in evaluations of menstrual complications or fertility disorders. Traditionally, assessment of the reproductive tract entailed hysterosalpingography to image the uterine cavity with the final diagnosis provid...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2013.10.014

    authors: Berger A,Batzer F,Lev-Toaff A,Berry-Roberts C

    更新日期:2014-05-01 00:00:00

  • Predictors of Postoperative Urinary Retention in Outpatient Minimally Invasive Hysterectomy.

    abstract:STUDY OBJECTIVE:To identify risk factors associated with postoperative urinary retention in patients undergoing outpatient minimally invasive hysterectomy. DESIGN:A retrospective cohort study. SETTING:An academic medical center. PATIENTS:All patients undergoing outpatient minimally invasive hysterectomy between Janu...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.06.003

    authors: Behbehani S,Delara R,Yi J,Kunze K,Suarez-Salvador E,Wasson M

    更新日期:2020-01-01 00:00:00

  • Technical video: modified laparoscopic colposuspension.

    abstract:BACKGROUND:Laparoscopic colposuspension has been shown in some studies to have equivocal results as open colposuspension, and in addition to treating stress incontinence can also reduce anterior vaginal wall compartment prolapse, as described by Burch in 1961 [1]. STUDY OBJECTIVE:To demonstrate a novel modified techni...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2014.05.016

    authors: Kent A,Jan H,Shakir F

    更新日期:2014-11-01 00:00:00

  • Double circular stapler technique for bowel resection in rectosigmoid endometriosis.

    abstract::To reduce bladder function impairment and avert the serious complications of anastomotic leakage after segmental rectosigmoidectomy and to minimize the persistence of endometriotic lesions associated with discoid resection, we used the double circular stapling (DCS) technique. This technique enables excision of bowel ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.07.022

    authors: Oliveira MA,Crispi CP,Oliveira FM,Junior PS,Raymundo TS,Pereira TD

    更新日期:2014-01-01 00:00:00

  • Systematic implementation of laparoscopic hysterectomy independent of uterus size: clinical effect.

    abstract:STUDY OBJECTIVE:To investigate the effect of uterine weight on the mode of hysterectomy and on perioperative outcomes and to explore how the increasing experience in endoscopic techniques influenced our choice of surgical approach to hysterectomy to treat benign conditions. DESIGN:Retrospective analysis (Canadian Task...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.02.009

    authors: Uccella S,Cromi A,Bogani G,Casarin J,Formenti G,Ghezzi F

    更新日期:2013-07-01 00:00:00

  • Impact of Temporary Protective Ileostomy on Intestinal Function and Quality of Life after a 2-Year Follow-up in Patients Who Underwent Colorectal Segmental Resection for Endometriosis.

    abstract:STUDY OBJECTIVE:To compare 2-year follow-up intestinal function and quality of life (QoL) between women with temporary protective ileostomy (PI) and recanalization and women without PI after colorectal segmental resection for deep infiltrating endometriosis (DIE). DESIGN:Prospective observational exploratory study. S...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.10.017

    authors: Raimondo D,Mattioli G,Degli Esposti E,Gregori B,Del Forno S,Mastronardi M,Arena A,Borghese G,Ambrosio M,Seracchioli R

    更新日期:2020-01-01 00:00:00