Laparoscopic hysterectomy for advanced endometriosis including rectosigmoid disease.
Endometriosis is best treated by surgical excision. This can be accomplished either by excision of the endometriosis with reproductive tract preservation or by excision of endometriosis with hysterectomy. This latter approach eliminates endometriosis in the muscle of the uterus (where it is called adenomyosis) and is especially effective for pelvic pain. Ovarian preservation can be considered using hysterectomy if the surgeon excises most of the endometriosis. Techniques to excise endometriosis, including rectosigmoid disease, and perform hysterectomy are detailed in this chapter.
Reich
Harry
H
Advanced Laparoscopic Surgeons, Shavertown, Pennsylvania, USA.
Redan
Jay A
JA
Orbuch
Iris Kerin
IK
D000328:Adult; D000368:Aged; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D020702:Hysteroscopes; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019990:Perioperative Care / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis; D012002:Rectal Diseases / Q000473:pathology / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D012810:Sigmoid Diseases / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome