A CLINICAL CASE OF ORGAN-PRESERVING LAPASCOPIC TREATMENT OF SEVERE EXTERNAL GENITAL ENDOMETRIOSIS

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2026-09-30

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Larisa Egorovna Fetishcheva
Kuzbass Regional Clinical Hospital for Emergency Medical Care named after M.A. Podgorbunsky, 650000, Kemerovo, st. Nikolay Ostrovsky, 22
Elizaveta Vladimirovna Lavrova
Kuzbass Regional Clinical Hospital for Emergency Medical Care named after M.A. Podgorbunsky, 650000, Kemerovo, st. Nikolay Ostrovsky, 22
Alena Ramilovna Akhmadeeva
Kuzbass Regional Clinical Hospital for Emergency Medical Care named after M.A. Podgorbunsky, 650000, Kemerovo, st. Nikolay Ostrovsky, 22
Elena Vladimirovna Rudaeva
Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a
Vadim Gelievich Moses
Kemerovo State University, 650000, Kemerovo, Krasnaya Street, 6
Svetlana Ivanovna Elgina
Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a
Kira Borisovna Moses
Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a

Abstract

External genital endometriosis remains one of the most significant diseases, occurring, according to current epidemiological estimates, in 6-10% of women of reproductive age. Severe forms of the disease involving the retrocervical region and intestine present the greatest challenges for diagnosis and surgical treatment, requiring a multidisciplinary approach and a careful balance between the radicality of the intervention and the preservation of reproductive function.
In this clinical case, an organ-preserving laparoscopic procedure was performed, including excision of endometriotic foci, bilateral cystectomy with enucleation of the endometrioma capsules, and adhesiolysis. A 43-year-old patient with severe external genital endometriosis included bilateral ovarian endometriomas up to 9 cm in diameter, retrocervical endometriosis, and involvement of the rectosigmoid colon.

Keywords

external genital endometriosis, ovarian endometrioma, retrocervical endometriosis, deep infiltrating endometriosis, laparoscopy, ovarian reserve, СА-125

Author Biographies

Larisa Egorovna Fetishcheva,

candidate of medical sciences, head of the gynecology department N 1

Elizaveta Vladimirovna Lavrova,

obstetrician-gynecologist of the gynecological department N 1

Alena Ramilovna Akhmadeeva,

obstetrician-gynecologist of the gynecology department N 1

Elena Vladimirovna Rudaeva,

candidate of medical sciences, docent, docent of the department of obstetrics and gynecology named after G.A. Ushakova

Vadim Gelievich Moses,

doctor of medical sciences, professor, director of the Medical Institute

Svetlana Ivanovna Elgina,

doctor of medical sciences, docent, professor of the department of obstetrics and gynecology named after G.A. Ushakova

Kira Borisovna Moses,

assistant of the department of polyclinic therapy and nursing

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
© Larisa Egorovna Fetishcheva, Elizaveta Vladimirovna Lavrova, Alena Ramilovna Akhmadeeva, Elena Vladimirovna Rudaeva, Vadim Gelievich Moses, Svetlana Ivanovna Elgina, Kira Borisovna Moses, 2026


Creative Commons License  This work is licensed under a Creative Commons Attribution 4.0 License.

How to Cite

Fetishcheva, L. E., Lavrova, E. V., Akhmadeeva, A. R., Rudaeva, E. V., Moses, V. G., Elgina, S. I., & Moses, K. B. (2026). A CLINICAL CASE OF ORGAN-PRESERVING LAPASCOPIC TREATMENT OF SEVERE EXTERNAL GENITAL ENDOMETRIOSIS. Medicine in Kuzbass, 25(3), 183-187. https://mednauki.ru/index.php/MK/article/view/1561

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