Archives of Gynecology and Obstetrics

, Volume 297, Issue 4, pp 985–988 | Cite as

Surgical laparoscopic treatment of bowel endometriosis with transvaginal resection of the rectum using ultrasonically activated shears: a retrospective cohort study with description of technique

  • F. Rampinelli
  • P. Donarini
  • C. Visenzi
  • S. Ficarelli
  • G. Ciravolo
General Gynecology
  • 44 Downloads

Abstract

Background

To asses the results of laparoscopic surgical treatment of bowel endometriosis with transvaginal resection of the rectum employing ultrasonic energy retrospective study.

Method

100 patients with symptoms of narrowing or partial obstruction of colon were submitted to laparoscopic resection of rectosigmoid tract through a vaginal route. Length of surgery, blood loss, histopathological extent of rectal invasion, surgical complications, and length of hospital stay were the main analyzed outcomes.

Results

Mean operative time was 281 min, blood loss was 250 ml on average, length of stay was 8 days, bowel movements were after 3.5 days, the mean length of bowel-resected segments was 13.3 cm, the disease was multifocal in 64% and multicentric in 36% of surgical specimens.

Conclusion

Laparoscopically assisted vaginal resection of rectosigmoid colon affected by endometriosis using ultrasonically activated shears with mechanical intestinal anastomoses tension free is a safe and effective procedure for surgical management of severe pelvic endometriosis with bowel involvement.

Keywords

Endometriosis Laparoscopic Resection Bowel 

Notes

Author contributions

FR: Project development, Data Collection, Methods, Manuscript writing. PD: Methods, Manuscript editing, Data analysis. CV: Manuscript editing. SF: Manuscript editing. GC: Project development, Data Collection, Methods.

Compliance with ethical standards

Conflict of interest

Nothing to disclose about potential conflicts of interest.

Informed consent

No informed consent needed for this study.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors (only observational).

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyUniversity of Brescia, Spedali Civili of BresciaBresciaItaly

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