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In this third review of the series of evidence-based practice reviews of clinical practice, we examine the evidence for the use of imaging techniques in the pre-planning for surgery for deep infiltrating endometriosis, particularly where there is recto-sigmoid disease. As in previous evidence-based practice reviews, we set a clinical scenario of a patient with suspected deep infiltrating endometriosis affecting her left utero-asacral ligament and with a suspicion of recto-sigmoid disease and ask which diagnostic tests would be the most accurate for diagnosis and pre-operative planning.

gynecological surgery

Evidence-based gynaecological practice: clinical review 3. The use of imaging for pre-operative planning in deep infiltrating endometriosis involving the rectum