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Journal of Robotic Surgery

, Volume 13, Issue 6, pp 789–790 | Cite as

Minimally invasive surgery for deep-infiltrating endometriosis and its impact on fertility: can robotic surgery play a role?

  • Desirée GianardiEmail author
  • Andrea Giannini
Letter to the Editor
  • 80 Downloads

To the Editor,

Endometriosis is one of the most common gynecological diseases, mainly affecting fertile women with a prevalence ranging from 10 to 15%. Complications of endometriosis as well as its management often result in infertility since they can involve all pelvic organs including the procreative ones. Moreover, deep-infiltrating endometriosis (DIE) is known to be related to infertility and is often the cause of severe dyspareunia, which may impede regular sexual intercourse necessary for natural conception.

In last decade, many studies have described the benefits of minimally invasive surgery in the treatment of endometriosis, as direct manual laparoscopy (DML) is nowadays considered the gold standard, resulting in faster recovery, shorter hospitalization, better cosmetic results and lower postoperative morbidity if compared to open surgery. Furthermore, when surgery for colorectal endometriosis is necessary, the laparoscopic approach has been demonstrated to increase the...

Keywords

Robot-assisted surgery Endometriosis surgery Deep-infiltrating endometriosis Fertility 

Notes

Acknowledgements

No funding supported this study.

Compliance with ethical standards

Conflict of interest

Dr Desirée Gianardi and Dr Andrea Giannini declare that they have no conflict of interest.

Statement of human rights and welfare of animals

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study informed consent is not required.

References

  1. 1.
    Roman H (2018) Endometriosis surgery and preservation of fertility, what surgeons should know. J Visc Surg 155(Suppl 1):S31–S36.  https://doi.org/10.1016/j.jviscsurg.2018.03.002 CrossRefPubMedGoogle Scholar
  2. 2.
    Bianchi PH, Pereira RM, Zanatta A, Alegretti JR, Motta EL, Serafini PC (2009) Extensive excision of deep infiltrative endometriosis before in vitro fertilization significantly improves pregnancy rates. J Minim Invasive Gynecol 16:174–180CrossRefGoogle Scholar
  3. 3.
    Siesto G, Ieda N, Rosati R, Vitobello D (2014) Robotic surgery for deep endometriosis: a paradigm shift. Int J Med Robot 10(2):140–146CrossRefGoogle Scholar
  4. 4.
    Morelli L, Perutelli A, Palmeri M, Guadagni S, Mariniello MD, Di Franco G, Cela V, Brundu B, Salerno MG, Di Candio G, Mosca F (2016) Robot-assisted surgery for the radical treatment of deep infiltrating endometriosis with colorectal involvement: short- and mid-term surgical and functional outcomes. Int J Colorectal Dis 31:643–652.  https://doi.org/10.1007/s00384-015-2477-2 CrossRefPubMedGoogle Scholar
  5. 5.
    Soto E, Luu TH, Liu X, Magrina JF, Wasson MN, Einarsson JI, Cohen SL, Falcone T (2017) Laparoscopy vs. robotic surgery for endometriosis (LAROSE): a multicenter, randomized, controlled trial. Fertil Steril 107(4):996–1002.e3.  https://doi.org/10.1016/j.fertnstert.2016.12.033 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  1. 1.General Surgery Unit, Department of Translational Research and New Technologies in Medicine and SurgeryUniversity of PisaPisaItaly
  2. 2.Division of Obstetrics and Gynecology, Department of Experimental and Clinical MedicineUniversity of PisaPisaItaly

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