How to Remove Endometriosis? Removing All Peritoneum from the Pelvic Compartment: En Bloc Peritonectomy, a Demonstration of the Technique

Abstract

<h3>Study Objective</h3> Demonstrate the en bloc pelvic peritonectomy technique for the treatment of all grades of endometriosis. <h3>Design</h3> Edited video of a standard procedure for complete excision of endometriosis. <h3>Setting</h3> Three-port laparoscopic surgery. <h3>Patients or Participants</h3> 28-year-old patient with 3 years of infertility, pelvic pain, and dyspareunia. <h3>Interventions</h3> A systematized surgical procedure by en bloc peritonectomy of the posterior and anterior compartment of the pelvis, for the most complete removal of endometriosis possible. <h3>Measurements and Main Results</h3> The video demonstrates that the technique is feasible and reproducible for surgeons who have a deep understanding of the anatomy and layers of the pelvis (fasciae). <h3>Conclusion</h3> En bloc peritonectomy of the pelvis appears to be an effective and safe way to completely remove endometriosis at all stages of the disease, both as an isolated technique in mild to moderate cases, as well as a step in the technique of removing intestinal disease or deeper infiltration in the lateral pelvic wall. With this technique the ideal removal of endometriosis is possible, with complete preservation of the anatomy and function of the pelvic organs.