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Combined laparoscopic and cystoscopic approach in large deep infiltrating endometriosis of the bladder
- Source :
- Journal of Gynecology Obstetrics and Human Reproduction, Journal of Gynecology Obstetrics and Human Reproduction, Elsevier, 2017, 46 (9), pp.691-692. ⟨10.1016/j.jogoh.2017.09.006⟩, Journal of Gynecology Obstetrics and Human Reproduction, 2017, 46 (9), pp.691-692. ⟨10.1016/j.jogoh.2017.09.006⟩
- Publication Year :
- 2017
-
Abstract
- International audience; Resection of endometriosis nodules infiltrating the bladder is routinely performed by laparoscopy. However, laparoscopic resection may lead to inadvertent loss of healthy bladder tissue. Conversely, when bladder nodules are treated by cystoscopy alone, resection may be incomplete. A combined laparoscopic-cystoscopic approach allows safe and controlled resection. The video reports the procedure performed in a 33 year-old primipara who presented with a 40mm bladder nodule. The laparoscopic step is carried out by the gynecologist, who separates the bladder from the uterus and opens the vesico-vaginal space. Concomitantly, the urologist identifies and circumscribes the nodule's limits by cystoscopy. Then, the gynecologist identifies the circular incision previously performed, and completes the resection. The bladder defect is sutured. Early and mid-term postoperative outcomes were uneventful. In patients with large nodules of the bladder, combined laparoscopic-cystoscopic approach allows complete resection of endometriosis lesion, preserves healthy bladder tissue and avoids inadvertent injury of ureters.
- Subjects :
- Adult
medicine.medical_specialty
Bladder
Plasma energy
Urinary Bladder
Uterus
Endometriosis
[SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics
urologic and male genital diseases
Peritoneal Diseases
Lesion
03 medical and health sciences
0302 clinical medicine
Gynecologic Surgical Procedures
medicine
Humans
In patient
Laparoscopy
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
business.industry
Urinary Bladder Diseases
Obstetrics and Gynecology
Nodule (medicine)
[SDV.BDLR]Life Sciences [q-bio]/Reproductive Biology
Cystoscopy
Deep endometriosis
medicine.disease
Combined Modality Therapy
Deep infiltrating endometriosis
female genital diseases and pregnancy complications
3. Good health
Surgery
medicine.anatomical_structure
Rectal Diseases
Reproductive Medicine
030220 oncology & carcinogenesis
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 24687847
- Volume :
- 46
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Journal of gynecology obstetrics and human reproduction
- Accession number :
- edsair.doi.dedup.....f3a3e97e933842ace2348f41233c9091
- Full Text :
- https://doi.org/10.1016/j.jogoh.2017.09.006⟩