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EnglishAbstract: 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.
| Titolo: | A multidisciplinary, minimally invasive approach for complicated deep infiltrating endometriosis |
| Autore/i: | SERACCHIOLI, RENATO; MANUZZI, LINDA; Mabrouk M.; SOLFRINI, SERENA; Frasca C; MANFERRARI, FABIO; PIERANGELI, FILIPPO; PARADISI, ROBERTO; VENTUROLI, STEFANO |
| Autore/i Unibo: | |
| Anno: | 2010 |
| Rivista: | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.fertnstert.2009.09.058 |
| Abstract: | Abstract: 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. |
| Data prodotto definitivo in UGOV: | 2013-07-01 13:04:26 |
| Appare nelle tipologie: | 1.01 Articolo in rivista |
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http://hdl.handle.net/11585/155386
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