Severe endometriosis: laparoscopic rectum resection

Ingolf Juhasz‐Böss, Juhasz-Böss I, Ingolf Juhasz-Böss, Lattrich C, Claus Lattrich, Alois Fürst, Fürst A, Eduard Malik, Malik E, Olaf Ortmann, Ortmann O
Archives of gynecology and obstetrics · 2009 · vol. 281(4) , pp. 657–662 · doi:10.1007/s00404-009-1164-3 · PMID:19565254 · W2118724021
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This study analyzed six patients with severe endometriosis requiring laparoscopic bowel resection between 2005 and 2006, finding short surgery durations, hospital stays, and one instance of post-operative bleeding.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This retrospective study analyzed six women with endometriosis involving the rectum or sigmoid colon who underwent laparoscopic partial bowel resection at a single university hospital in 2005–2006. The paper reports that mean age at diagnosis and surgery was 36.1 and 36.5 years, all were nulligravida, 50% were infertile, and one-third had rectal resection only while others had sigmoid or combined rectum-sigmoid resections; most had prior endocrine treatment. Surgical duration averaged 201 minutes with a mean hospital stay of 8 days, and the only noted complication was post-surgery bleeding at the enteroanastomosis requiring transfusion and rectoscopic intervention, with follow-up colonoscopies described as normal. This paper is centrally about endometriosis — it specifically examines laparoscopic rectum (and related sigmoid/rectosigmoid) partial resections for severe rectovaginal endometriosis.

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Abstract

AimEndometriosis is a frequent benign disease of women in reproductive age. An infiltration of the spatium rectovaginal is rare, but if it occurs, in up to 73% the rectum is involved. If there is the indication for surgery, a partial resection of the rectum might be necessary. This can be performed by a laparoscopic approach. It is the aim of this work to describe a patient population treated for endometriosis in the spatium rectovaginal by laparoscopic surgery.Patient population and methodsA retrospective analysis of data from patients with endometriosis in rectum or sigma, which underwent a laparoscopic partial bowel resection in the years 2005-2006 at the Department of Obstetrics and Gynecology, University of Regensburg, was carried out.ResultsBetween 2005 and 2006, we performed a laparoscopic partial bowel resection in six patients with endometriosis. The mean age at diagnosis was 36.1 years (range 28-50 years) and 36.5 years (range 30-50 years) at surgery. All patients were nulligravida and 50% of the patients were infertile (since 1-6 years). The interval between the onset of symptoms and surgery ranged from a few weeks up to 2.5 years. Two-thirds of the patients had endocrine treatment before surgery. Three patients had a rectum resection, one a sigma resection and two had a combined rectum- and sigma resection. The mean duration of surgery was 201 min and mean hospital stay was 8 days. We saw one post-surgery bleeding at the enteroanastomosis. In that case two erythrocyte concentrates were necessary and the bleeding was stopped by rectoscopic intervention. All follow-up coloscopies were without pathological findings. One patient had a normal delivery after IVF/ICSI treatment.ConclusionsIf severe endometriosis needs a rectum resection then it can be done laparoscopically. This surgery should be performed in a specialized center. The duration of surgery, hospital stay and time of convalescence are short.
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Abstract

Aim Endometriosis is a frequent benign disease of women in reproductive age. An infiltration of the spatium rectovaginal is rare, but if it occurs, in up to 73% the rectum is involved. If there is the indication for surgery, a partial resection of the rectum might be necessary. This can be performed by a laparoscopic approach. It is the aim of this work to describe a patient population treated for endometriosis in the spatium rectovaginal by laparoscopic surgery. Patient population and methods A retrospective analysis of data from patients with endometriosis in rectum or sigma, which underwent a laparoscopic partial bowel resection in the years 2005–2006 at the Department of Obstetrics and Gynecology, University of Regensburg, was carried out.

Results

Between 2005 and 2006, we performed a laparoscopic partial bowel resection in six patients with endometriosis. The mean age at diagnosis was 36.1 years (range 28–50 years) and 36.5 years (range 30–50 years) at surgery. All patients were nulligravida and 50% of the patients were infertile (since 1–6 years). The interval between the onset of symptoms and surgery ranged from a few weeks up to 2.5 years. Two-thirds of the patients had endocrine treatment before surgery. Three patients had a rectum resection, one a sigma resection and two had a combined rectum- and sigma resection. The mean duration of surgery was 201 min and mean hospital stay was 8 days. We saw one post-surgery bleeding at the enteroanastomosis. In that case two erythrocyte concentrates were necessary and the bleeding was stopped by rectoscopic intervention. All follow-up coloscopies were without pathological findings. One patient had a normal delivery after IVF/ICSI treatment.

Conclusions

If severe endometriosis needs a rectum resection then it can be done laparoscopically. This surgery should be performed in a specialized center. The duration of surgery, hospital stay and time of convalescence are short. Similar content being viewed by others

References

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Rectum Adult Colonoscopy Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Middle Aged Pregnancy Rectum Retrospective Studies

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