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Minimally Invasive Gynecology pp 45–59Cite as

Anatomical Landmarks in Deep Endometriosis Surgery

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Abstract

Deep endometriosis (DE) represents a chronic inflammatory disease, affecting pelvic viscera and peritoneal and retroperitoneal structures and completely distorting their normal aspect and reciprocal relationships by a mechanism of progressive infiltration and retraction. One of the main objectives of its surgical treatment, together with reducing pelvic pain and improving fertility, is the restoration of normal pelvic anatomy. For this reason, surgeons must have a deep knowledge of pelvic anatomy, in order to reassess a grossly distorted surgical field. Thus, pelvic anatomical landmarks represent essential points of reference to start procedures such as mobilization of the pelvic viscera, wide peritoneal resections, or the identification of further anatomical structures to be preserved, such as parasympathetic and orthosympathetic pelvic neural fibers in nerve-sparing procedures.

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Author information

Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Gynecologic Oncology and Minimally-Invasive Pelvic Surgery, International School of Surgical Anatomy, “Sacred Heart” Hospital, Negrar (Verona), Italy

    Marcello Ceccaroni M.D., Ph.D., Giovanni Roviglione M.D., Daniele Mautone M.D. & Roberto Clarizia M.D., Ph.D.

Authors
  1. Marcello Ceccaroni M.D., Ph.D.
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  2. Giovanni Roviglione M.D.
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  3. Daniele Mautone M.D.
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  4. Roberto Clarizia M.D., Ph.D.
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Editor information

Editors and Affiliations

  1. CliniOnco, Porto Alegre, Rio Grande do Sul, Brazil

    Geraldo Gastal Gomes-da-Silveira

  2. UFCSPA, Porto Alegre, Rio Grande do Sul, Brazil

    Gustavo Py Gomes da Silveira

  3. Universidade Federal do Rio Grande do Sul (UFRGS) and Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil

    Suzana Arenhart Pessini

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Ceccaroni, M., Roviglione, G., Mautone, D., Clarizia, R. (2018). Anatomical Landmarks in Deep Endometriosis Surgery. In: Gomes-da-Silveira, G.G., da Silveira, G.P.G., Pessini, S.A. (eds) Minimally Invasive Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-72592-5_5

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  • DOI: https://doi.org/10.1007/978-3-319-72592-5_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72591-8

  • Online ISBN: 978-3-319-72592-5

  • eBook Packages: MedicineMedicine (R0)

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