Nerve-sparing (NS) surgery reduces bowel, bladder and sexual dysfunction
without decreasing surgical efficacy.
Objectives
This study aimed to summarize the anatomical and surgical data of NS
technique and to review the post-operative outcomes after NS surgery for
deeply infiltrating endometriosis (DIE).
Data Sources
Data were collected from published research articles from MEDLINE and the
Cochrane Library databases.
Conclusions, implications of key findings
The NS technique approach for DIE seems to be feasible and reproductive. In
comparison to the conventional surgery (CS), it seems to demonstrate better
preservation of pelvic visceral function and an improvement in quality of
life with same recurrence rates. The concept of preservation of autonomic
nerves during surgical treatment of DIE should become standard in reference
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