{"paper_id":"0852e348-5a39-4471-bf2b-04e4d0ef8212","body_text":"Abstract\nBackground\nThis study was designed to compare the surgical outcomes of standard and reverse laparoscopic techniques for the treatment of rectovaginal endometriosis.\nMethods\nA retrospective study was conducted in a teaching and research hospital (tertiary center), which included 75 women subjected to laparoscopic treatment of rectovaginal endometriosis that required both vaginal resection and rectal surgery. Standard and reverse laparoscopic techniques were compared in 35 and 40 women, respectively. Student’s t test, Mann–Whitney test, and Fisher’s exact test were performed to compare groups when needed; p < 0.05 was considered statistically significant.\nResults\nThere was no statistically significant difference in operating time, blood loss, conversion rate, major intraoperative complications, length of hospital stay, and minor postoperative complications between the two techniques. The rate of major postoperative complications for the standard technique was 22.9%, whereas only 5% for the reverse technique (p = 0.02). The rate of postoperative rectovaginal fistula was the same for both techniques.\nConclusions\nMajor postoperative complications were reduced by using the reverse technique.\nSimilar content being viewed by others\nReferences\nCarmona F, Martínez-Zamora A, González X, Ginés A, Buñesch L, Balasch J (2009) Does the learning curve of conservative laparoscopic surgery in women with rectovaginal endometriosis impair the recurrence rate? Fertil Steril 92:868–875\nKristensen J, Kjer JJ (2007) Laparoscopic laser resection of rectovaginal pouch and rectovaginal septum endometriosis: the impact on pelvic pain and quality of life. Acta Obstet Gynecol Scand 86:1467–1471\nVercellini P, Crosignani PG, Somigliana E, Berlanda N, Barbara G, Fedele L (2009) Medical treatment for rectovaginal endometriosis: what is the evidence? 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Pouly, Gérard Mage, Michel Canis have no conflicts of interest or financial ties to disclose.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nKondo, W., Bourdel, N., Jardon, K. et al. Comparison between standard and reverse laparoscopic techniques for rectovaginal endometriosis. Surg Endosc 25, 2711–2717 (2011). https://doi.org/10.1007/s00464-011-1635-z\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00464-011-1635-z","source_license":"CC0","license_restricted":false}