[Laparoscopic surgery of deep endometriosis. About 118 cases].
OBJECTIVE
To evaluate risks and benefits of laparoscopic surgery of deep endometriosis, especially with bowel involvement with the aim of improve the inform consent of patients and choice of adequate management.


METHODS
Observational continuous study on 118 patients suffering from deep endometriosis (48 with bowel endometriosis) treated by laparoscopic surgery.


RESULTS
95.6% of the patients improved their symptoms (93.7% for dyspareunia). Upon the 29 infertile patients, 21 (72%) got pregnant, including 14 (66%) spontaneously. During operative time, 3 laparotomies occurred, two of them for haemorrhage. During postoperative time, 4 major complications (2 rectal fistulas and 2 ureteral necrosis) and minor complications occurred.


CONCLUSIONS
Those data confirm the efficiency of laparoscopic treatment of deep endometriosis especially for pain relief and fertility. Nevertheless, few but severe complications may occur. Therefore, it is imperative to deliver clear, loyal and appropriate information before to proceed to such a treatment.
Panel
P
P
Service de gynécologie-obstétrique, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78157 Le Chesnay cedex, France. ppanel@ch-versailles.fr
Chis
C
C
Gaudin
S
S
Letohic
A
A
Raynal
P
P
Mikhayelyan
M
M
Fraleu
B
B
Sangana
G
G
Almeras
C
C
Dufour
C
C
Boidart
F
F
D000328:Adult; D004414:Dyspareunia / Q000628:therapy; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000628:therapy; D007410:Intestinal Diseases / Q000601:surgery; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000009:adverse effects; D008875:Middle Aged; D011183:Postoperative Complications; D011247:Pregnancy; D011446:Prospective Studies; D012008:Recurrence