Day 5: Congress: Wednesday, November 13, 2019

Laparoscopic Excision of Deep Infiltrating Endometriosis with Bowel and Parametrial Involvement plus Live Preoperative Ultrasound


Wednesday, November 13, 2019


9:00am – 9:40am


Ballroom B and C


Live Surgery


Assia A. Stepanian, Amanda C. Yunker


Mario Malzoni, Rome, Italy


Rosanne M. Kho, Cleveland, OH, Alan M. Lam, St Leonards NSW, Australia

Course Description

This case provides a live surgical demonstration of laparoscopic surgery in a setting of advanced pelvic endometriosis with previous live ultrasound. This is an effective technique in symptomatic patients when medical options fail or poorly tolerated/contraindicated.

It can be considered a feasible and safe procedure, but being a highly complex surgery, requiring specific skills in laparoscopic procedures with dedicated preoperative evaluation and optimal knowledge of surgical anatomy (neuro anatomy) and the handling of instruments and electrosurgery technologies.

This session demonstrates surgical technique, discusses appropriate candidates for this procedure, and shows tips and tricks to overcome the difficulties related to distortion of pelvic anatomy due to severe pelvic deep infiltrating endometriosis.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Perform key points of pelvic anatomy essentials to manage severe endometriosis; 2) illustrate the use of laparoscopic instruments for colorectal and ureteral surgery; and 3) demonstrate how to approach the bowel and parametrial endometriosis following an adequate preoperative imaging evaluation in order to place correct indications.