{"paper_id":"40bc0ffc-c780-4ca8-92e9-231c4e8b8631","body_text":"Abstract\nLaparoscopic excision of full thickness rectal endometriosis using a discoid resection can avoid the need for a bowel resection. This may help avoid some of the morbidity and prolonged hospitalization that can be associated with larger bowel surgery. Patients with a single anterior nodule that is less than 3 cm and do not involve more than half of the circumference of the bowel are good candidates for this surgical approach. The maximum amount of unaffected bowel can be spared, while still obtaining disease free surgical margins, by gently squeezing the nodule and bouncing off. This technique shows the surgeon where to make the proper incision and allows for a primary two-layer closure rather than a bowel resection.\nLink to video (https://www.youtube.com/watch?v=Ub1j7um6Tco).\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nMeuleman C, Tomassetti C, D’Hoore A, Van Cleynenbreugel B, Penninckx F, Vergote I, et al. Surgical treatment of deeply infiltrating endometriosis with colorectal involvement. Hum Reprod Update. 2011;17(3):311–26.\nAbrão MS, Petraglia F, Falcone T, Keckstein J, Osuga Y, Chapron C. Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management. Hum Reprod Update. 2015;21(3):329–39.\nOliveira MAP, Crispi CP, Oliveira FM, Junior PS, Raymundo TS, Pereira TD. Double circular stapler technique for bowel resection in rectosigmoid endometriosis. J Minim Invasive Gynecol. 2014;21(1):136–41.\nLaganà AS, Vitale SG, Trovato MA, Palmara VI, Rapisarda AMC, Granese R, et al. Full-thickness excision versus shaving by laparoscopy for intestinal deep infiltrating endometriosis: rationale and potential treatment options. Biomed Res Int. 2016;2016:3617179.\nKondo W, Ribeiro R, Zomer MT, Hayashi R. Laparoscopic double discoid resection with a circular stapler for bowel endometriosis. J Minim Invasive Gynecol. 2015;22(6):929–31.\nDe Cicco C, Corona R, Schonman R, Mailova K, Ussia A, Koninckx P. Bowel resection for deep endometriosis: a systematic review. BJOG. 2011;118(3):285–91.\nJayot A, Nyangoh Timoh K, Bendifallah S, Ballester M, Darai E. Comparison of laparoscopic discoid resection and segmental resection for colorectal endometriosis using a propensity score matching analysis. J Minim Invasive Gynecol. 2018;25(3):440–6.\nAbrão MS, Podgaec S, Dias JA, Averbach M, Silva LFF, Marino de Carvalho F. Endometriosis lesions that compromise the rectum deeper than the inner muscularis layer have more than 40% of the circumference of the rectum affected by the disease. J Minim Invasive Gynecol. 2008;15(3):280–5.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\n10.1 Electronic Supplementary Material\n(MOV 1658605 kb)\nRights and permissions\nCopyright information\n© 2020 Springer Nature Switzerland AG\nAbout this chapter\nCite this chapter\nLee, T., Rindos, N. (2020). Laparoscopic Discoid Rectal Endometriosis Resection: The Squeeze Technique. In: Ferrero, S., Ceccaroni, M. (eds) Clinical Management of Bowel Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-030-50446-5_10\nDownload citation\nDOI: https://doi.org/10.1007/978-3-030-50446-5_10\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-030-50445-8\nOnline ISBN: 978-3-030-50446-5\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}