caa a22 4500 445309075 CHVBK 20180317142623.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00404-010-1624-9 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1624-9 Laparoscopic nerve-sparing surgery of deep infiltrating endometriosis: description of the technique and patients' outcome [Elektronische Daten] [A. Kavallaris, C. Banz, N. Chalvatzas, A. Hornemann, D. Luedders, K. Diedrich, M. Bohlmann] Introduction: The radical surgery of the deep infiltrating endometriosis of the rectovaginal septum and the uterosacral ligaments with or without bowel resection can cause a serious damage of the pelvic autonomic nerves with urinary retention and the need of self-catheterization. Patients and methods: We introduce a case series report of 16 patients with laparoscopic nerve-sparing surgery of deep infiltrating endometriosis. We describe the technique step by step and compare the patients' outcome with patients who had undergone a non-nerve-sparing surgical technique. In 12 patients, a double-sided and in four patients, a single-sided identification of the inferior hypogastric nerve and plexus were performed. Results: In all patients at least single-sided resection of the uterosacral ligaments were performed. Postoperatively dysmenorrhoea, pelvic pain, and dyspareunia disappeared in all patients. The average operating time was 82min (range 45-185). Postoperatively, the overall time to resume voiding function was 2days. The residual urine volume was in all patients <50ml at two ultrasound measurements. Discussion: Identification of the inferior hypogastric nerve and plexus was feasible. In comparison with non-nerve-sparing surgical technique, no cases of bladder self-catheterization for a long or even life time was observed, confirming the importance of the nerve-sparing surgical procedure. Springer-Verlag, 2010 Deep infiltrating endometriosis nationallicence Nerve-sparing surgery nationallicence Bladder dysfunction nationallicence Kavallaris A. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut Banz C. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut Chalvatzas N. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut Hornemann A. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut Luedders D. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut Diedrich K. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut Bohlmann M. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 131-135 0932-0067 284:1<131 2011 284 404 https://doi.org/10.1007/s00404-010-1624-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1624-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kavallaris A. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Banz C. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Chalvatzas N. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Hornemann A. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Luedders D. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Diedrich K. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Bohlmann M. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburgerallee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 131-135 0932-0067 284:1<131 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer