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Papers of the Week


2022 Sep 25


Fertil Steril

Nerve-sparing surgery for deep lateral parametrial endometriosis.

Authors

Kanno K, Yanai S, Sawada M, Sakate S, Andou M
Fertil Steril. 2022 Sep 25.
PMID: 36171149.

Abstract

Although dLPE is not overly rare, isolation of the autonomic nerves from dLPE cannot always be guaranteed. In patients with endometriosis lesions that are embedded in the deep parametrium, nerve-sparing techniques are no longer considered feasible, except for those with unilateral involvement. However, even one-sided radical parametrectomy may actually lead to bladder dysfunction, which seriously affects the quality of life. Therefore, the objective is to demonstrate the anatomical and technical highlights of nerve-sparing laparoscopic surgery for deep lateral parametrial endometriosis (dLPE).