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Related Experiment Video

Updated: May 10, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
07:20

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Published on: December 21, 2012

Robotic surgery for deep endometriosis: a paradigm shift.

Gabriele Siesto1, Nicoletta Ieda, Riccardo Rosati

  • 1Department of Gynecology, IRCCS, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS
|June 15, 2013
PubMed
Summary

Robotic surgery is a safe and effective option for deep infiltrating endometriosis (DIE), particularly for complex cases involving bowel or bladder resection. This study shows its feasibility and attractiveness as an alternative to traditional methods.

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Area of Science:

  • Minimally invasive gynecologic surgery
  • Surgical oncology
  • Robotic-assisted surgery

Background:

  • Minimally invasive surgery is the standard for deep infiltrating endometriosis (DIE).
  • Evaluating robotic surgery for DIE management is crucial.

Purpose of the Study:

  • To assess the feasibility of robotic surgery for deep infiltrating endometriosis (DIE).

Main Methods:

  • Retrospective cohort study over 5 years.
  • Included robotic procedures: segmental bowel resection, rectovaginal septum (RVS) nodule removal, and partial bladder resection.

Main Results:

  • 19 bowel resections, 23 RVS nodule removals, 5 bladder resections performed.
  • 12 posterior vaginal resections also completed.
Keywords:
bladder endometriosisbowel endometriosisdeep infiltrating endometriosisrobotic-assisted laparoscopic surgerysegmental bowel resection

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Last Updated: May 10, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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  • No intra-operative complications or laparotomy conversions; one anastomotic leak.
  • Conclusions:

    • This series is the largest robotic DIE study.
    • Robotics is a safe and attractive alternative for comprehensive DIE treatment.
    • Especially beneficial for DIE requiring bowel or bladder resection.