Revista chilena de obstetricia y ginecología
version ISSN 0717-7526
PRADO A, Jaime et al. Técnica laparoscópica reversa en el manejo quirúrgico de la endometriosis profunda del tabique rectovaginal: experiencia preliminar. Rev. chil. obstet. ginecol. [online]. 2012, vol.77, n.1, pp. 29-34. ISSN 0717-7526. doi: 10.4067/S0717-75262012000100006.
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.
Keywords : Deep infiltrating endometriosis; rectovaginal septum; reverse technique; laparoscopy.