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Endometriosis pp 399–409Cite as

Systematic Laparoscopic Surgery for Complete Obliteration of the Cul-de-sac

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Abstract

Endometriosis has been reported as a major cause of pelvic pain. Most notably, deep infiltrating endometriosis is a very active disease that occurs in 20 % of women with endometriosis. We have been actively dissecting deep infiltrating diseased areas within the sacral ligaments around the uterus in order to improve dysmenorrhea and chronic pelvic pain caused by deep infiltrating endometriosis. Laparoscopic surgery is an ideal option to treat deep infiltrating endometriosis involving complete cul-de-sac obliteration due to its minimal invasiveness and ability to achieve an appropriate depth of surgical field. It is important to prevent pain recurrence by providing systematic surgery and removing the deep infiltrating endometriosis safely and widely. To reduce recurrence, it is ideal to provide postoperative education to maintain the effect of surgery.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Kurashiki Medical Center, Kurashiki, Japan

    Yoshiaki Ota, Masaaki Andou, Keiko Ebisawa, Kazuko Fujiwara, Tomonori Hada & Hiroyuki Kanao

  2. Department of Obstetrics and Gynecology, Kurashiki Heisei Hospital, Kurashiki, Japan

    Ikuko Ota

Authors
  1. Yoshiaki Ota
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  2. Masaaki Andou
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  3. Keiko Ebisawa
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  4. Kazuko Fujiwara
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  5. Tomonori Hada
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  6. Hiroyuki Kanao
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  7. Ikuko Ota
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Corresponding author

Correspondence to Yoshiaki Ota .

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Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan

    Tasuku Harada

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© 2014 Springer Japan

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Ota, Y. et al. (2014). Systematic Laparoscopic Surgery for Complete Obliteration of the Cul-de-sac. In: Harada, T. (eds) Endometriosis. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54421-0_24

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  • DOI: https://doi.org/10.1007/978-4-431-54421-0_24

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54420-3

  • Online ISBN: 978-4-431-54421-0

  • eBook Packages: MedicineMedicine (R0)

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