Laparoscopically assisted vaginal resection of rectovaginal endometriosis
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This paper describes a combined laparoscopic and vaginal technique for resecting deep rectovaginal endometriosis in 34 women, finding it effective with no major complications and preservation of function.
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Abstract
BACKGROUND: We wanted to establish a technique of laparoscopically assisted radical vaginal surgery for deep endometriosis of the rectovaginal septum with extensive rectal involvement. TECHNIQUE: The procedure is started by vaginally excising the involved area which is left on the rectum, followed by bilateral dissection of the pararectal and retrorectal spaces. Para- and retrosigmoido-rectal spaces are developed laparoscopically along the coccygeosacral bone and medially to the pelvic splanchnic nerves toward the para- and retrorectal openings that were made transvaginally. Rectal transection is done with a laparoscopic stapling device caudal to the endometriotic lesion. Using a suprapubic minilaparotomy, the bowel is transected cranial to the lesion and reintroduced into the abdomen, and a transanal circular stapler anastomosis is done. EXPERIENCE: Thirty-four women had this procedure. The mean distance of the anastomosis was 4 cm above the anus. None required ileostomy or colostomy and no major complications were noted. CONCLUSION: The combination of laparoscopic and vaginal approaches is useful for removing extensive endometriotic infiltration of the rectosigmoid; bladder and rectal function and fertility can be preserved.
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References (8)
- Conservative Surgical Treatment of Rectovaginal Septum Endometriosis via openalex
- Laparoscopic and vaginal colpotomy for the excision of infiltrating cul-de-sac endometriosis. via openalex
- Laparoscopic treatment of cul-de-sac obliteration secondary to retrocervical deep fibrotic endometriosis. via openalex
- Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaparoscopy and the CO<sub>2</sub> laser via openalex
- Surgery: Rectovaginal septum, endometriosis or adenomyosis: laparoscopic management in a series of 231 patients via openalex
- W2049415140 via openalex
- W67744482 via openalex
- W2418349036 via openalex
Cited by (50)
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- Operative Therapie der Endometriose und ihre Risiken 2020
- Voie combinée vaginale-cœlioscopique versus cœlioscopie seule dans la prévention de l’atonie vésicale après résection d’endométriose rectovaginale profonde avec large infiltration vaginale 2020
- Recommendations for the surgical treatment of endometriosis Part 2: deep endometriosis †‡¶. 2020
- Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis†‡¶ 2020
- Post-operative management and follow-up of surgical treatment in the case of rectovaginal and retrocervical endometriosis 2020
- Combined vaginal-laparoscopic approach vs. laparoscopy alone for prevention of bladder voiding dysfunction after removal of large rectovaginal endometriosis 2020
- Deep endometriosis: The place of laparoscopic shaving 2020
- Postoperative imaging findings after laparoscopic surgery for deeply infiltrating endometriosis 2020
- Recurrence after Surgery for Colorectal Endometriosis: A Systematic Review and Meta-analysis 2019
- Comparison of preoperative and postoperative sexual function in patients with deeply infiltrating endometriosis with and without bowel resection 2019
- Fluorescence of Deep Infiltrating Endometriosis During Laparoscopic Surgery: A Preliminary Report on 6 Cases 2018
- Surgical laparoscopic treatment of bowel endometriosis with transvaginal resection of the rectum using ultrasonically activated shears: a retrospective cohort study with description of technique 2018
- Endométriose pelvienne : de la résection à la préservation rectale 2018
- Endometriosis and adenomyosis 2018
- Spontaneous fertility after expectant or surgical management of rectovaginal endometriosis in women with or without ovarian endometrioma: a retrospective analysis 2017
- Functional outcomes after disc excision in deep endometriosis of the rectum using transanal staplers: a series of 111 consecutive patients 2017
- Management of deep infiltrating endometriosis of the rectum: Is a systematic temporary stoma relevant? 2017
- Rectal shaving for deep endometriosis infiltrating the rectum: a 5-year continuous retrospective series 2016
- [Retroperitoneal endometriosis : When a rare form of endometriosis becomes a urological disease]. 2016
- Combined vaginal-laparoscopic-transanal approach for reducing bladder dysfunction after conservative surgery in large deep rectovaginal endometriosis 2016
- Identification des sites anatomiques à risque de lésion nerveuse lors de chirurgie pour endométriose pelvienne profonde 2016
- Colorectal endometriosis and fertility 2016
- Traitement chirurgical de l’endométriose digestive : entre l’approche limitée et radicale 2016
- Delivery and pregnancy outcome in women with bowel resection for deep endometriosis: a retrospective cohort study 2015
- Endometriosis and Infertility 2015
- The Problem of Anastomotic Stricture After Rectosigmoid Resection in Deep Infiltrating Endometriosis 2015
- Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications 2015
- Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management 2015
- Long‐term follow‐up and recurrence rate after mesorectum‐sparing bowel resection among women with rectovaginal endometriosis 2014
- Experience with multidisciplinary laparoscopic surgery in patients with deep infiltrating colorectal endometriosis 2014
- National German Guideline (S2k): Guideline for the Diagnosis and Treatment of Endometriosis 2014
- Surgical treatment of rectovaginal endometriosis with extensive vaginal infiltration: results of a systematic three-step vagino-laparoscopic approach 2013
- Endométriose : traitement des lésions infiltrantes 2013
- Résection segmentaire pour endométriose colorectale : existe-t-il des alternatives ? 2012
- Diagnosis and treatment of rectovaginal endometriosis: an overview 2012
- Deep rectovaginal endometriotic nodules: perioperative complications from a series of 3,298 patients operated on by the shaving technique 2012
- Técnica laparoscópica reversa en el manejo quirúrgico de la endometriosis profunda del tabique rectovaginal: experiencia preliminar 2012
- Nerve-sparing laparoscopic eradication of deep endometriosis with segmental rectal and parametrial resection: the Negrar method. A single-center, prospective, clinical trial 2012
- Outcome of conservative surgical treatment of deep infiltrating endometriosis 2012
- Surgical treatment of rectovaginal endometriosis with rectal involvement 2011
- Endométriose profonde et fertilité 2011
- Comparison between standard and reverse laparoscopic techniques for rectovaginal endometriosis 2011
- Fertility after colorectal resection for endometriosis: results of a prospective study comparing laparoscopy with open surgery 2011
- Letter to the Editor 2011
- Follow-up of dysfunctional bladder and rectum after surgery of a deep infiltrating rectovaginal endometriosis 2011
- Pathophysiological approach to bowel dysfunction after segmental colorectal resection for deep endometriosis infiltrating the rectum: a preliminary study 2011
- Robot-assisted total intracorporeal low anterior resection with primary anastomosis and radical dissection for treatment of stage IV endometriosis with bowel involvement: morbidity and its outcome 2011
- 94 months follow-up after laparoscopic assisted vaginal resection of septum rectovaginale and rectosigmoid in women with deep infiltrating endometriosis 2010
- An investigation of the surgical treatment of endometriosis 2010
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