Role of Laparoscopic Surgery in Deep Infiltrative Endometriosis: Review Article
Natthasiri Suwannarat, MD¹, Chainarong Choksuchat, MD²
Affiliation : ¹ Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand ² Reproductive Medicine Unit and Gynecologic Laparoscopy, Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
Endometriosis is a progressive medical condition that affects reproductive-aged women, usually presenting with pelvic pain and
infertility. The deep infiltrative endometriosis, infiltrating the peritoneum of more than 5 mm, is found by pathology to be an
active disease that involves the uterosacral ligaments, the retro-cervical area, the rectovaginal septum, the rectum, the vagina,
and the bladder. The choice of therapy depends on the presentation and severity of the symptoms, the extended location of
endometriotic lesions, and the fertility need. Laparoscopic surgery is a standard of clinical care for women with deep infiltrative
endometriosis-related bowel endometriosis, severe pelvic pain, and infertility. Nevertheless, pre-operative mapping of the
disease is difficult for accuracy planning, with bowel and urinary tract injuries being the major concern of surgical treatments.
Thereby, a multidisciplinary laparoscopic approach, with radical laparoscopic surgery, plays an essential role for the treatment
of deep infiltrative endometriosis.
Received 17 April 2020 | Revised 23 July 2020 | Accepted 31 July 2020
doi.org/10.35755/jmedassocthai.2020.12.11329
Keywords : Deep infiltrative endometriosis, Endometriosis, Laparoscopy, Laparoscopic surgery
