The cul-de-sac holds special importance in endometriosis treatment. It is the pelvic area most commonly involved by the disease (Table 12.1). Indeed, although Sampson’s original publications in the 1920s made it appear that the ovary was the most commonly involved pelvic site, two decades later he realized that peritoneal disease was more common and clinically more important.1-3 Gynecologic surgeons, therefore, must become proficient in identifying and treating cul-de-sac endometriosis.
KeywordsFatigue Adenoma Respiration Diarrhea Barium
Unable to display preview. Download preview PDF.
- 1.Sampson JA. Perforating hemorrhagic (chocolate) cysts of the ovary. Arch Surg 1921;3:245–323.Google Scholar
- 3.Sampson JA. The development of the implantation theory for the origin of peritoneal endometriosis. Am J Obstet Gynecol 1940;40:549–557.Google Scholar
- 4.Jenkins S, Olive DL, Haney AF. Endometriosis: pathogenic implications of the anatomic distribution. Obstet Gynecol 1991;67:335–338.Google Scholar
- 5.Redwine DB. Mulleriosis: the single best fit model of origin of endometriosis. J Reprod Med 1988;33:915–20.Google Scholar
- 19.Redwine DB. Treatment of endometriosis-associated pain. In Olive DL, ed. Endometriosis: Infertility and Reproductive Medicine Clinics of North America. Philadelphia, WB Saunders, 1992, pp 697–720.Google Scholar
- 20.The American Fertility Society. Revised American Fertility Classification system of endometriosis: 1985. Fertil Steril 1985;44:351–352.Google Scholar
- 22.Wheeler JM, Malinak LR. Recurrent endometriosis. Contr Gynecol Obstet 1987;16:13–21.Google Scholar
- 24.Griffin L, Noller K, Kaminetzky H, et al. Personal communications, 1991.Google Scholar
- 29.Murphy AA, Schlaff WD, Hassiakos D, et al. Laparoscopic cautery in the treatment of endometriosis-related infertility. Fertil Steril 1991;55:245–251.Google Scholar
- 34.Widdowson EM, Dicerkson JWT. Composition of the body. In Diem K, Lentner C, eds. Geigy Scientific Tables, 7th ed. Basle, 1970, pp 517–522.Google Scholar