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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (4): 616-618    DOI: 10.12891/ceog3108.2016
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A laparoscopic surgery for deep infiltrating endometriosis and the review of literature
S. J. Liu1, *(), W. Lv1
1Department of Obstetrics and Gynecology of Tongde Hospital of Zhejiang Province, Hangzhou (China)
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Abstract  
Deep infiltrating endometriosis (DIE) is a complex disorder that affects 6% to 12% of all women in the reproductive age. In these cases, treatment is more difficult with possible incomplete pain relief and a considerable possibility of recurrence. Here, the authors report a case of a 41-year-old woman with a history of severe dysmenorrhea, dyspareunia, and chronic pelvic pain because of deep infiltrating pelvic and peritoneal endometriosis, who underwent segmental colorectal resection three years ago for large bowel obstruction due to colonic endometriosis. To ensure complete removal of the disease, the authors injected gonadotropin-releasing hormone agonist (GnRHa) in three periodic cycles before laparoscopic surgery. We performed laparoscopic hysterectomy and deep pelvic nodule resection and pelvic adhesion releasing. After five days of hospitalization, the patient recovered totally and was not experiencing any pain at three months’ follow-up. Laparoscopic treatment has more become the standard of treatment for DIE. A review of the literature regarding pathology and physiology of DIE and surgical aspects of its management is undertaken. The authors would like to renew the current laparoscopic surgery in curing the DIE, as they believe that this is also a useful addition to the literature.
Key words:  Deep infiltrating endometriosis      Gonadotropin-releasing hormone agonist      Laparoscopic surgery     
Published:  10 August 2016     
*Corresponding Author(s):  S. J. LIU     E-mail:  sjliu8010@126.com

Cite this article: 

S. J. Liu, W. Lv. A laparoscopic surgery for deep infiltrating endometriosis and the review of literature. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(4): 616-618.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3108.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I4/616

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