Endometriosis Research Today is a free monthly online journal that collates and summarizes the latest research about Endometriosis, including details on causes, treatment, symptoms, infertility.

Ureteral suspension facilitates surgery for deep pelvic endometriosis.

Alessandri F, Lijoi D, Mistrangelo E, Ferrero S, Ragni N, Remorgida V

Department of Obstetrics and Gynecology, San Martino Hospital and University of Genoa, Genoa, Italy.

This study describes a technique that facilitates the identification of the ureter during radical excision of endometriosis. After dissection of the ureter, a biocompatible silicone sling is introduced into the pelvis through the trocar; the sling is applied around the ureter and the two ends of the sling are pulled until adequate traction on the ureter is obtained. Ureteral suspension was performed in 126 consecutive women with endometriotic lesions involving the ovarian fossa and/or the uterosacral ligaments. This surgical technique facilitated the identification of the ureter, preventing injuries.

Published 4 May 2007 in Fertil Steril, 87(5): 1222-4.
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