{"paper_id":"cd00adaf-fea5-47cc-ad40-d5f081475d73","body_text":"Abstract\nEndometriosis is a common benign gynecologic condition defined as the presence of uterine lining, or endometrium, outside of the uterine cavity. Implants create a proinflammatory environment secondary to the production of cytokines, prostaglandins, and metalloproteinases. The inflammation present in endometriosis lesions leads to scar tissue formation and adhesions between pelvic organs. Severe dysmenorrhea, chronic pelvic pain, and infertility are the most common symptoms of women diagnosed with endometriosis. Symptoms can be debilitating affecting work productivity and quality of life.\nFrom a clinical standpoint, endometriosis is distinguished by three distinct manifestations: (1) superficial endometriosis, (2) ovarian endometriomas, and (3) deeply infiltrating endometriosis (DIE). Though they can present simultaneously, these three types of endometriosis vary in severity, symptoms, and management.\nDIE is of the most clinical importance from a colorectal surgical perspective. This is the most advanced form of endometriosis. These lesions invade beyond the superficial peritoneum and can involve sites such as the rectovaginal space, the bowel, appendix, bladder, ureter, lung, liver, umbilicus, as well as other locations. The rectosigmoid is among the most common sites of involvement. When DIE of the rectosigmoid leads to transmural infiltration, stenosis, or obstruction, colorectal expertise is necessary. Collaboration between the gynecologic and colorectal surgeon can lead to sustained clinical improvement.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nSchorge J, Schaffer J, Halvorson L, Hoffman B, Bradshaw K, Cunningham F. Williams gynecology. 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Hum Reprod. 2012;27(3):722–6.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2017 Springer International Publishing Switzerland\nAbout this chapter\nCite this chapter\nVargas, M.V., Moawad, G., Obias, V., Aziz, M. (2017). The Robotic-Assisted Treatment of Endometriosis: A Colorectal Surgical Perspective. In: Obias, V. (eds) Robotic Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-43256-4_17\nDownload citation\nDOI: https://doi.org/10.1007/978-3-319-43256-4_17\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-319-43254-0\nOnline ISBN: 978-3-319-43256-4\neBook Packages: MedicineMedicine (R0)\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}