Design: Educational surgical video

Setting: Community based hospital system

Patients or Participants: Patients undergoing surgery for excision of superficial endometriosis. This is a case of a 27-year-old female with a history of pelvic pain, dysmenorrhea, high-tone pelvic floor dysfunction, dyspareunia, and dyschezia undergoing a robotic excision of endometriosis.

Interventions: This educational video reviews a step-by-step approach to performing a pelvic sidewall peritonectomy. It offers a surgical approach aimed at optimizing ease and efficiency, while also highlighting pertinent anatomy and surgical landmarks. We aim to provide a tutorial for an effective, safe, and reproducible approach to surgically excising endometriosis from its most common location which is the pelvic sidewall. Recognition of key anatomical structures is paramount to optimizing good clinical outcomes. It leads to sound surgical technique which can allow gynecologic surgeons to provide minimally invasive surgical care in complex and technically challenging endometriosis cases.

Measurements and Main Results: N/A

Conclusion: Endometriosis is a chronic estrogen-dependent, inflammatory disease that is most commonly found in the pelvis. The standard of care for most gynecologic surgeons is treatment of endometriosis lesions through surgical excision whenever feasible. Studies have demonstrated improved outcomes in pain, quality of life, and infertility with the surgical excision of endometriosis. This educational video highlights a reproducible approach to safely and effectively performing a pelvic sidewall peritonectomy in the setting of superficial endometriosis. Mastering these skills will allow surgeons to offer minimally invasive surgery in even the most complex endometriosis cases.