Abstract                                                                                                                               (click here to view last month's video) Systematic Approach To The Obliterated Cul De Sac And Excission Of Rectovaginal Endometriosis Edited by Charles E. Miller, M.D. by Dr. Resad Pasic   Successful treatment of the obliterated cul-de-sac and associated deep infiltrative endometriosis requires a strategic laparoscopic approach. Taking time to first perform a bilateral ureterolysis is beneficial in providing anatomic landmarks and protecting the ureters. In dissecting the rectovaginal septum, the potential space medial to the ureter is utilized to transect the uterosacral ligament and then enter the rectovaginal space from the lateral aspect to medial. Once the uterosacral ligament is transected, the posterior fornix is incised along the rectovaginal margin. The nodule is then excised by continuing along the original triangular shape of the pouch of Douglas, and any structures that were compromised during dissection can be reconstructed. Click the following link to read the complete article on Ob.Gyn.News http://download.journals.elsevierhealth.com/pdfs/journals/0029-7437/PIIS0029743710703025.pdf