{"paper_id":"ce93eb64-cc45-4cb0-844e-87bdb989eb99","body_text":"Abstract\nBackground\nThe objective of this study was to evaluate the feasibility and safety of a more versatile rectosigmoid nodulectomy technique using a linear stapler.\nMethods\nCase series. Setting: tertiary care (reference center for endometriosis surgery). Patients: Sixty-one consecutive patients who were operated on between January 2006 and February 2013. Intervention: anterior rectal wall nodulectomy technique using sequential bites of the linear stapler. Measurements: Perioperative complications were recorded, and a condition-specific bowel dysfunction quality of life questionnaire (Rome III—Constipation) was applied pre-operatively and post-operatively during the first week of April 2013. Design classification: Canadian Task Force III\nResults\nA total of 61 patients were submitted to the intervention. After a mean follow-up period of 1.83 years (.25–7.1 ± 1.97), no post-operative fistula or leakage was observed. In addition, no cases of rectal stenosis or bowel obstruction were recorded, and two patients were excluded for not answering the post-operative questionnaire. According to the Rome III questionnaire, constipation symptoms improved significantly in 12 out of 17 questions. No patient reported worsening of symptoms in question.\nConclusions\nLinear stapler resection is a safe alternative to segmentar resection for endometriotic nodules on the anterior rectal wall.\nSimilar content being viewed by others\nReferences\nDe Cicco C, Schonman R, Craessaerts M, Van Cl, Ussia A, Koninckx PR (2009) Laparoscopic management of ureteral lesions in gynecology. Fertil Steril 92:1424–1427\nKoninckx PR, Martin DC (1992) Deep endometriosis: a consequence of infiltration or retraction or possibly adenomyosis externa? 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Rodrigues, Fernando Yassuo Asanuma, Paulo D’Amora, Eduardo Schor, and Manoel J. B. C. Girão have no conflicts of interest or financial ties to disclose.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nElectronic supplementary material\nBelow is the link to the electronic supplementary material.\nSupplementary material 1 (MP4 76019 kb).\nRights and permissions\nAbout this article\nCite this article\nKamergorodsky, G., Lemos, N., Rodrigues, F.C. et al. Evaluation of pre- and post-operative symptoms in patients submitted to linear stapler nodulectomy due to anterior rectal wall endometriosis. Surg Endosc 29, 2389–2393 (2015). https://doi.org/10.1007/s00464-014-3945-4\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00464-014-3945-4","source_license":"CC0","license_restricted":false}