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Updated: Aug 21, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Laparoscopic excision of deep endometriosis
Jacques Donnez1, Jean Squifflet
1Department of Gynecology, Catholic University of Louvain, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, Brussels 1200, Belgium. donnez@gyne.ucl.ac.be
Abstract:
Deep endometriosis is essentially characterized by the presence of a rectovaginal or retrocervical nodule, which is a circumscribed, nodular aggregate of smooth muscle, endometrial glands, and, usually, endometrial stroma. The authors suggest that the retroperitoneal space should definitely be considered as the origin of this retroperitoneal adenomyotic disease. This article reviews the classification, the diagnosis, and the surgical treatment of deep endometriosis (adenomyotic disease).
