Histopathologic features of endometriotic rectal nodules and the implications for management by rectal nodule excision
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This paper examines the histopathologic features of endometriotic rectal nodules to inform surgical management strategies focused on nodule excision.
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Abstract
Using data from 27 women with deep rectal endometriosis, managed by segmental resection, we observed that in 89% of cases active glandular endometrial foci were responsible for a deeper infiltration of rectal layers than that of fibrosis and smooth fibers by 5 mm on average. These data might be useful for surgeons performing rectal nodule excision, suggesting the benefits of administrating postoperative medical treatment to reduce the risk of rectal recurrences caused by remaining active endometriotic foci.
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Cited by (22)
- The role of fibrosis in endometriosis: a systematic review 2024
- Abdominal wall endometriosis: Is structure in imaging related to nodule localisation? A retrospective study 2021
- SURGICAL TECHNIQUES FOR THE TREATMENT OF RECTAL ENDOMETRIOSIS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS AND OBSERVATIONAL STUDIES 2021
- SURGICAL TECHNIQUES FOR THE TREATMENT OF RECTAL ENDOMETRIOSIS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS AND OBSERVATIONAL STUDIES 2021
- Rectal Shaving Using Plasma Energy in Deep Infiltrating Endometriosis of the Rectum: Four Years of Experience 2017
- Magnetic Resonance Imaging Compared with Rectal Endoscopic Sonography for the Prediction of Infiltration Depth in Colorectal Endometriosis 2017
- Rectal shaving for deep endometriosis infiltrating the rectum: a 5-year continuous retrospective series 2016
- Complications and Their Management in Endometriosis Surgery 2015
- Limited segmental rectal resection in the treatment of deeply infiltrating rectal endometriosis: 10 years' experience from a tertiary referral unit 2014
- Bowel endometriosis: Colorectal surgeon’s perspective in a multidisciplinary surgical team 2014
- Multidisciplinary laparoscopic treatment for bowel endometriosis 2013
- Bowel dysfunction before and after surgery for endometriosis 2013
- Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum 2013
- Résection segmentaire pour endométriose colorectale : existe-t-il des alternatives ? 2012
- Segmental bowel resection for colorectal endometriosis: is there a correlation between histological pattern and clinical outcomes? 2012
- Clinical outcome after CO2 laser laparoscopic radical excision of endometriosis with colorectal wall invasion combined with laparoscopic segmental bowel resection and reanastomosis 2011
- Laparoscopic sigmoid resection with transrectal specimen extraction: a novel technique for the treatment of bowel endometriosis 2011
- Rectovaginal Endometriosis 2011
- Combined transanal and laparoscopic approach for the treatment of deep endometriosis infiltrating the rectum 2011
- Surgical management of deep infiltrating endometriosis of the rectum: pleading for a symptom-guided approach 2010
- Delayed functional outcomes associated with surgical management of deep rectovaginal endometriosis with rectal involvement: giving patients an informed choice 2010
- Complications Associated With Two Laparoscopic Procedures Used in the Management of Rectal Endometriosis 2010
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- europepmc
- last seen: 2026-09-20T09:27:46.357103+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
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- unpaywall
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