Operative management of deep endometriosis infiltrating the uterosacral ligaments.
OBJECTIVE
To describe and assess the efficacy of laparoscopic surgical treatment for patients with pain and deep endometriosis located on the uterosacral ligaments.


METHODS
Retrospective analysis (Canadian Task Force classification II-2).


METHODS
University-affiliated hospital.


METHODS
One hundred ten consecutive women with deep endometriosis infiltrating uterosacral ligaments.


METHODS
Operative laparoscopic management of endometriosis.


RESULTS
Improvement was reported in 82.3% (70/85) of patients with severe dysmenorrhea and was considered satisfactory in 82.8% (58/70). Improvement also occurred in 88.2% (75/85) of women with deep dyspareunia, and was considered satisfactory in 88.0% (66/75).


CONCLUSIONS
Provided the surgeon is highly skilled in laparoscopy, operative laparoscopy is efficient for the treatment of painful symptoms related to deep endometriosis infiltrating uterosacral ligaments. (J Am Assoc Gynecol Laparosc 6(1):31-37, 1999)
Chapron
C
C
Service de Chirurgie Gynécologique (Prof Dubuisson), Clinique Universitaire Baudelocque, C.H.U. Cochin Port-Royal, 123 Boulevard Port-Royal, 75014 Paris, France; fax 33 1 40 51 77 62.
Dubuisson
J B
JB
Fritel
X
X
Fernandez
B
B
Poncelet
C
C
Béguin
S
S
Pinelli
L
L
D000293:Adolescent; D000328:Adult; D004412:Dysmenorrhea / Q000209:etiology; D004414:Dyspareunia / Q000209:etiology; D004715:Endometriosis / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D008022:Ligaments / Q000473:pathology*; D008875:Middle Aged; D010388:Pelvis / Q000473:pathology*; D011183:Postoperative Complications; D012189:Retrospective Studies