Rectovaginal septum, endometriosis or adenomyosis: laparoscopic management in a series of 231 patients
Non-randomised trial
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⤵ 143 in-corpus citations
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Laparoscopic excision of deep rectovaginal septum endometriosis in 231 patients resulted in pain relief with rare complications, and the resected nodules were histologically characterized as 'rectovaginal adenomyosis.'
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Abstract
A series of 231 cases of deep-infiltrating endometriosis of the rectovaginal septum is presented. Laparoscopic procedures with excision of deep fibrotic endometriotic nodules were performed in all cases. In three cases, the bowel lumen was entered. No other peri-operative complications were observed. Three cases of urinary retention were reported. The nodule resection resulted in considerable pain relief. Histologically, the rectovaginal nodule was similar to an adenomyoma. Indeed it was a circumscribed nodular aggregate of smooth muscle and endometrial glands. This form of disease must be considered as a specific disease which originates from the Mullerian rests present in the rectovaginal septum and we suggest that it be called 'rectovaginal adenomyosis'.
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- Rectal shaving using PlasmaJet in deep endometriosis of the rectum 2013
- Multidisciplinary laparoscopic treatment for bowel endometriosis 2013
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