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Técnica laparoscópica reversa en el manejo quirúrgico de la endometriosis profunda del tabique rectovaginal: experiencia preliminar

DOI: 10.4067/S0717-75262012000100006

Keywords: deep infiltrating endometriosis, rectovaginal septum, reverse technique, laparoscopy.

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Abstract:

background: surgical resection of deep infiltrating endometriosis (die) is complex and it is associated with a high risk of complications. recently, the so-called reverse technique seems to be associated with lower a complication rate when compared to standard technique. aims: to report our preliminary experience and the feasibility of reverse technique in the management of die. method: report of 5 cases from a prospective database. results: mean age was 34.2 years (range: 32-37 years). all patients had chronic pelvic pain and severe dyspareunia and 3 women had previous surgeries for endometriosis. mean operative time was 313 minutes (range: 180-450 minutes). all surgeries were completed by laparoscopy and no complications were noted. histological analysis confirmed endometriosis in all cases. mean follow-up was 4 months (range: 2-8 month). conclusion: reverse laparoscopic technique is feasible and reproductible, however, it should be reserved to teams experienced in advanced laparoscopic surgery.

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