Total laparoscopic hysterectomy with obliterated anterior cul-de-sac.
Endometriosis may in severe cases lead to obliteration of the anterior and/or posterior cul-de-sacs in the female pelvis. The anterior cul-de-sac is generally less commonly affected. This type of cases usually presents a challenge for the operating surgeon, whether via open route or through laparoscopy. In this paper, we present an illustrative case and explain our technique for dealing with a scarred and totally obliterated anterior cul-de-sac because of endometriosis during total laparoscopic hysterectomy.
Walid
M Sami
MS
Medical Center of Central Georgia, Macon, GA 31201, USA. mswalid@yahoo.com
Heaton
Richard L
RL
D000328:Adult; D002921:Cicatrix / Q000473:pathology / Q000601:surgery; D004312:Douglas' Pouch / Q000473:pathology / Q000601:surgery*; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D012720:Severity of Illness Index