{"paper_id":"58961942-a51e-4cb9-9a15-21868aba29de","body_text":"Mesentery-Preserving Hand-Sewn Anastomosis for Rectal Endometriosis: A Nerve-Sparing Laparoscopic Technique\nABSTRACT\nObjective\nTo describe a mesentery-preserving, nerve-sparing laparoscopic technique for rectal endometriosis.\nDesign\nRetrospective cohort study.\nSetting\nSingle centre.\nPopulation or Sample\nWomen requiring bowel resection for rectal endometriosis.\nMethods\nFull-thickness anterior lesion excision and mesorectum-preserving limited posterior resection with hand-sewn anastomosis, compared with conventional stapled resection.\nMain Outcome Measures\nAnastomotic integrity and 12-month functional outcomes.\nResults\nThe technique safely preserves neurovascular structures. Initial proof-of-concept data confirm surgical feasibility.\nConclusions\nThis approach is feasible and hypothesis-generating, supporting future prospective trials.\nConflicts of Interest\nThe authors declare no conflicts of interest.\nData Availability Statement\nThe data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.","source_license":"public-domain-us","license_restricted":false}