The pelvis is a Pandora’s box. Every time you open it for endometriosis excision surgery, you unleash what was otherwise only symptomatic—and now you must deal with it surgically. Deep infiltrating endometriosis often involves complex pelvic vascular anatomy, making vascular web dissection one of the most critical yet underappreciated skills in advanced endometriosis surgery.
This technique—dissecting through the dense network of pelvic blood vessels while preserving vital vascular structures—can mean the difference between successful complete excision and life-threatening hemorrhage. Today we’re dissecting (pun intended) the essential principles of vascular web dissection in endometriosis surgery, a technique every surgeon performing deep excision must master. Read more