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Updated: Jun 18, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
A multidisciplinary, minimally invasive approach for complicated deep infiltrating endometriosis
Renato Seracchioli1, Linda Manuzzi, Mohamed Mabrouk
1Minimally Invasive Gynecological Surgery Unit, Reproductive Medicine Unit, S. Orsola Hospital, University of Bologna, Italy. seracchioli@aosp.bo.it
Objective:
To present a case of complicated deep infiltrating endometriosis managed by a multidisciplinary minimally invasive approach.
Design:
Case report.
Setting:
Tertiary care university hospital.
Patient:
A 32-year-old woman with deep infiltrating endometriosis involving the rectovaginal septum, the rectum, and the left ureter, complicated by silent left renal function loss.
Intervention(S):
Laparoscopic left nephrectomy, ureterectomy, excision of a left ovarian endometrioma, removal of a large rectovaginal nodule, and segmental bowel resection with minilaparotomic end-to-end anastomosis.
Main Outcome Measure(S):
Multidisciplinary diagnosis and minimally invasive surgical approach to deep infiltrating endometriosis involving the rectum and the urinary tract.
Result(S):
Collaboration between gynecologists, urologists, and colorectal surgeons enabled a successful management of the case in one surgical intervention providing minor risk of complications, shorter hospital stay, and faster functional recovery.
Conclusion(S):
Deep infiltrating endometriosis is a global pathology that may involve different structures. A multidisciplinary, minimally invasive approach should be recommended to achieve appropriate disease management.
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