title: Operative management of deep endometriosis infiltrating the uterosacral ligaments.
abstract: 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)
authors.affiliation: 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.
authors.forename: C
authors.initials: C
authors.lastname: Chapron
authors.forename: J B
authors.initials: JB
authors.lastname: Dubuisson
authors.forename: X
authors.initials: X
authors.lastname: Fritel
authors.forename: B
authors.initials: B
authors.lastname: Fernandez
authors.forename: C
authors.initials: C
authors.lastname: Poncelet
authors.forename: S
authors.initials: S
authors.lastname: Béguin
authors.forename: L
authors.initials: L
authors.lastname: Pinelli
mesh_terms: 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