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- W3100656470 abstract "Study Objective The purpose of this video is to demonstrate the viability of the laparoscopic approach for excision of endometriosis in the inguinal canal and the individualization of the anatomical structures in this region. Design The procedures aimed at treating symptomatic patients with cyclic groin pain, secondary to endometriosis infiltrating the inguinal canal, during a laparoscopic approach for deep endometriosis affecting the pelvis or other regions of the abdomen. All patients had a preoperative diagnosis through imaging (MRI and Ultrasound). Setting A 3D camera with 30° optics was used to provide an enlarged and suitable viewing angle of the anterior abdominal wall. Patients or Participants Between July 2019 and February 2020, 5 patients had a preoperative diagnosis (MRI and Ultrasound) and underwent a laparoscopic resection of endometriosis infiltrating the inguinal canal. 35 patients with endometriosis affecting only the internal inguinal ring were excluded. Interventions The first step was to open the peritoneum covering the internal inguinal ring, followed by the identification of the lesion inside the canal. External iliac vessels were identified and, if necessary, a double vascular bulldog interrupted venous or arterial circulation during the dissection of the vessel. Measurements and Main Results After three months all patients underwent a clinical MRI examination. They were asymptomatic and no residual lesions were identified. Conclusion A laparoscopic approach can be performed effectively and safely for the excision of endometriosis in the inguinal canal. The purpose of this video is to demonstrate the viability of the laparoscopic approach for excision of endometriosis in the inguinal canal and the individualization of the anatomical structures in this region. The procedures aimed at treating symptomatic patients with cyclic groin pain, secondary to endometriosis infiltrating the inguinal canal, during a laparoscopic approach for deep endometriosis affecting the pelvis or other regions of the abdomen. All patients had a preoperative diagnosis through imaging (MRI and Ultrasound). A 3D camera with 30° optics was used to provide an enlarged and suitable viewing angle of the anterior abdominal wall. Between July 2019 and February 2020, 5 patients had a preoperative diagnosis (MRI and Ultrasound) and underwent a laparoscopic resection of endometriosis infiltrating the inguinal canal. 35 patients with endometriosis affecting only the internal inguinal ring were excluded. The first step was to open the peritoneum covering the internal inguinal ring, followed by the identification of the lesion inside the canal. External iliac vessels were identified and, if necessary, a double vascular bulldog interrupted venous or arterial circulation during the dissection of the vessel. After three months all patients underwent a clinical MRI examination. They were asymptomatic and no residual lesions were identified. A laparoscopic approach can be performed effectively and safely for the excision of endometriosis in the inguinal canal." @default.
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- W3100656470 date "2020-11-01" @default.
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- W3100656470 title "Inguinal Canal Endometriosis: A Laparoscopic Approach" @default.
- W3100656470 doi "https://doi.org/10.1016/j.jmig.2020.08.373" @default.
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