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of post-operative adjuvant therapy.Benefits of a laparoscopic approach are shorter hospitalisations, lower blood loss, faster postoperative recovery. Methodology Safe , step by step method of total hysterectomy and bilateral salpingo-oophorectomy with pelvic and paraaortic lymph node dissection. Dissection and visualisation of anatomical landmarks as safest , most reliable method of performing laparoscopic surgery. Result(s)* 54 year old woman with endometrial cancer G2 FIGO IB was qualified for laparoscopic surgery. Total hysterectomy and bilateral salpingo-oophorectomy with pelvic and para-aortic lymph node was performed. Patient was discharged from hospital after 3 days in good condition, with no significant blood loss or other complications.Final histopathology result : TIBN0M0 , 68 lymph nodes from paraaortic and pelvic lyphadectomy.LVSI negative Conclusion* We are convinced that our approach to laparoscopic total hysterectomy with lymphadenectomy is safe and repetitive. By dissection and visualisation key anatomical landmarks we can avoid complications such as bleeding , damage to the ureters, nerves and vessels.

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There are less than ten cases of deep endometriosis degeneration in the literature.The duration of endometriosis, the ovarian stimulation, the perimenopause and the obesity exposes the woman to an increased risk of endometriosis degeneration.

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