{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T14:16:56Z","timestamp":1758809816206,"version":"3.37.3"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum des Saarlandes und Medizinische Fakult\u00e4t der Universit\u00e4t des Saarlandes"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Endometriosis is a chronic, inflammatory, and hormone-dependent disease that affects approximately 10% of women in reproductive age. Endometriosis is categorized into different types, as superficial, deep, and ovarian endometriosis. When deep endometriosis occurs, the sigmoid and rectum are often affected (Becker et al. in Hum Reprod Open, 2022, <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.1093\/hropen\/hoac009\">https:\/\/doi.org\/10.1093\/hropen\/hoac009<\/jats:ext-link>). In the following article, we aim to demonstrate stepwise surgery for stage IV endometriosis involving the anterior rectosigmoid.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We present the case of a 26-year-old obese (BMI 35.87) woman with severe posterior pelvic compartment endometriosis, persistent abdominal pain, and constipation. On preoperative MRI of the pelvis, a 13 cm conglomerate incorporating both ovaries (kissing ovaries), uterine serosa, and the anterior rectosigmoid was observed (Fig.\u00a01). Accordingly, interdisciplinary laparoscopic surgery with a gynecologist and colorectal surgeon was planned.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The total laparoscopic approach is demonstrated step by step in the video.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Deep endometriosis is a rare condition. When involvement of other organs (e.g., the bowel) is suspected, preoperative endometriosis-specific imaging should be performed for optimal surgical planning. Experienced endometriosis multidisciplinary surgical teams can provide specialized and high-quality care for patients suffering from this debilitating disease (Luna Russo et al. in Minerva Ginecol, 2020, <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.23736\/S0026-4784.20.04544-X\">https:\/\/doi.org\/10.23736\/S0026-4784.20.04544-X<\/jats:ext-link>).<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-024-10969-7","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T18:02:38Z","timestamp":1718820158000},"page":"4677-4679","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Multidisciplinary surgical management of severe posterior compartment endometriosis"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3488-5073","authenticated-orcid":false,"given":"Carolin","family":"Mueller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Luna Russo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Schabl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann","family":"Kessler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"10969_CR1","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoac009","author":"CM Becker","year":"2022","unstructured":"Becker CM, Bokor A, Heikinheimo O, Horne A, Jansen F, Kiesel L et al (2022) ESHRE guideline: endometriosis. Hum Reprod Open. https:\/\/doi.org\/10.1093\/hropen\/hoac009","journal-title":"Hum Reprod Open"},{"key":"10969_CR2","doi-asserted-by":"publisher","DOI":"10.23736\/S0026-4784.20.04544-X","author":"MA Luna Russo","year":"2020","unstructured":"Luna Russo MA, Chalif JN, Falcone T (2020) Clinical management of endometriosis. Minerva Ginecol. https:\/\/doi.org\/10.23736\/S0026-4784.20.04544-X","journal-title":"Minerva Ginecol"},{"key":"10969_CR3","unstructured":"World Health Organization (2023) Endometriosis key facts. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/endometriosis#:~:text=Key%20facts,age%20women%20and%20girls%20globally. (Assessed 29 Nov 2023)"},{"key":"10969_CR4","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1159\/000452660","volume":"82","author":"MJ Fuldeore","year":"2017","unstructured":"Fuldeore MJ, Soliman AM (2017) Prevalence and symptomatic burden of diagnosed endometriosis in the United States: national estimates from a cross-sectional survey of 59,411 women. Gynecol Obstet Invest 82:453\u2013461. https:\/\/doi.org\/10.1159\/000452660","journal-title":"Gynecol Obstet Invest"},{"key":"10969_CR5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0154227","author":"C Morassutto","year":"2016","unstructured":"Morassutto C, Monasta L, Ricci G, Barbone F, Ronfani L (2016) Incidence and estimated prevalence of endometriosis and Adenomyosis in Northeast Italy: a data linkage study. PLoS ONE. https:\/\/doi.org\/10.1371\/journal.pone.0154227","journal-title":"PLoS ONE"},{"key":"10969_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2018\/3461209","volume":"2018","author":"D Charatsi","year":"2018","unstructured":"Charatsi D, Koukoura O, Ntavela IG, Chintziou F, Gkorila G, Tsagkoulis M et al (2018) Gastrointestinal and urinary tract endometriosis: a review on the commonest locations of extrapelvic endometriosis. Adv Med 2018:1\u201311. https:\/\/doi.org\/10.1155\/2018\/3461209","journal-title":"Adv Med"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-10969-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-024-10969-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-10969-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T09:12:43Z","timestamp":1722935563000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-024-10969-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,19]]},"references-count":6,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10969"],"URL":"https:\/\/doi.org\/10.1007\/s00464-024-10969-7","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"type":"print","value":"0930-2794"},{"type":"electronic","value":"1432-2218"}],"subject":[],"published":{"date-parts":[[2024,6,19]]},"assertion":[{"value":"2 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Drs. Carolin Mueller, Miguel Luna Russo, Lukas Schabl, and Hermann Kessler have no conflicts of interest or financial ties to disclose.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}},{"value":"Informed consent was obtained from the patient in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}