Research Article: Vagino-Laparoscopic Conservative Strategy of Hysterectomy in Indicated Cases of Severe Pelvic Endometriosis Followed by Months of Depot-Medroxyprogesterone Acetate Therapy— A Symptom-Solving Treatment Model to Ease Surgical Challenges
Introduction:
Failed remission and recurrence of unbearable endometriosis-associated pelvic pain are a concern for the patient and the operating gynaecologic surgeon in indicated cases of hysterectomy for severe pelvic endometriosis. – Surgeons, through the abdominal route (abdominal and laparoscopic) of the hysterectomy, have adopted different ways—such as en-block excision or extensive retroperitoneal dissection—to remove all deeply infiltrated diseased tissues with the aim of relieving the severe cyclic pelvic pain and…
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