{"paper_id":"5edd04e1-f187-4542-97cf-966b8fafa41a","body_text":"Abstract\nBackground\nTo asses the results of laparoscopic surgical treatment of bowel endometriosis with transvaginal resection of the rectum employing ultrasonic energy retrospective study.\nMethod\n100 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.\nResults\nMean 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.\nConclusion\nLaparoscopically 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.\nSimilar content being viewed by others\nReferences\nChapron C, Dubuisson JB (2001) Management of deep endometriosis. 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GC: Project development, Data Collection, Methods.\nCorresponding author\nEthics declarations\nConflict of interest\nNothing to disclose about potential conflicts of interest.\nInformed consent\nNo informed consent needed for this study.\nEthical approval\nThis article does not contain any studies with human participants or animals performed by any of the authors (only observational).\nRights and permissions\nAbout this article\nCite this article\nRampinelli, F., Donarini, P., Visenzi, C. et al. Surgical laparoscopic treatment of bowel endometriosis with transvaginal resection of the rectum using ultrasonically activated shears: a retrospective cohort study with description of technique. Arch Gynecol Obstet 297, 985–988 (2018). https://doi.org/10.1007/s00404-018-4692-x\nReceived:\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-018-4692-x","source_license":"CC0","license_restricted":false}