Disc resection is the first option in the management of rectal endometriosis for unifocal lesions with less than 3 centimeters of longitudinal diameter

de Almeida A, Amélia de Almeida, Fernandes Lf, Luiz F Fernandes, Marcelo Averbach, Mauricio S Abrão, Abrão MS
Surgical technology international · 2014 · vol. 24 , pp. 243–8 · PMID:24526427 · W2407868159
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This paper describes the laparoscopic disc resection technique for rectosigmoid endometriosis, deeming it the primary surgical option for unifocal lesions under 3 cm.

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Abstract

Rectosigmoid endometriosis is one of the most advanced forms of the disease affecting 3% to 37% of patients with endometriosis. Some patients are asymptomatic but others can develop severe symptoms such as abdominal and pelvic pain, diarrhea, constipation, and rectal bleeding. Transvaginal ultrasonography (USG-TV) with bowel preparation is the first-line investigation in patients with suspected bowel endometriosis and allows accurate determination of the presence of the disease. When endometriosis of rectosigmoid is diagnosed, the USG-TV helps the surgical team to define the appropriate therapeutic strategy, be it surgical or conservative. The surgical management of rectosigmoid endometriosis includes disc resection or segmental bowel resection. In recent years, disc resection has gained adherents; this approach allows the resection of macroscopic disease with fewer complications than segmental bowel resection. However, disc resection is only indicated when a lesion is unifocal, the size does not exceed 3 cm, and it does not involve more than 50% to 60% of circumference of the rectum or sigmoid wall. This article describes the laparoscopic disc resection surgical technique for intestinal deep endometriosis, its feasibility, and its current status.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Digestive System Surgical Procedures Endometriosis Endometriosis Rectal Diseases Rectal Diseases Urogenital Surgical Procedures Colon Colon Colon Digestive System Surgical Procedures Digestive System Surgical Procedures Endometriosis Endometriosis Feasibility Studies Feasibility Studies Female Female Humans Humans Rectal Diseases

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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