Surgical treatment for colorectal endometriosis. A clinical case

The article describes a clinical case of successful surgical treatment of a patient with deep endometriosis involving the rectum using the Da Vinci Surgical System. The use of the Da Vinci robotic complex allows for increasing the radicalism of the operation by improving visualization and expanding the surgeon’s manual capabilities. This starts to be possible thanks to the technical advantages of this technology, specifically 3D imaging and the use of EndoWrist instruments with artificial wrists and seven degrees of freedom that provide greater precision when manipulating in a minimally invasive environment. Surgical treatment of colorectal endometriosis includes three types of operations — focus shaving, discoid and circular bowel resections with anastomosis. When choosing a treatment strategy, one needs to take into account the clinical course of the disease, the results of conservative treatment and instrumental methods of research (ultrasound, MRI), and the woman’s reproductive plans. The excision of the infiltrate is an effective method of treating patients with colorectal endometriosis in terms of pain relief, improving the quality of life and restoring reproductive function. Performing such operations is optimal in medical institutions with a multidisciplinary approach. Full Text About the authors Alla K. Politova National Medical and Surgical Center named after N.I. Pirogov Email: [email protected] ORCID iD: 0000-0002-5924-2616 SPIN-code: 6558-5394 MD, Dr. Sci. (Med.), Assistant Professor Russian Federation, MoscowAndrey V. Maksimenkov National Medical and Surgical Center named after N.I. Pirogov Author for correspondence. Email: [email protected] SPIN-code: 1559-1172 MD, Cand. Sci. (Med.) Russian Federation, MoscowYulia A. Vershinina National Medical and Surgical Center named after N.I. Pirogov Email: [email protected] ORCID iD: 0000-0003-1941-8450 SPIN-code: 3781-4500 Russian Federation, Moscow Anastasia D. Alexandrova National Medical and Surgical Center named after N.I. Pirogov Email: [email protected] ORCID iD: 0000-0002-2493-863X Russian Federation, Moscow Svetlana V. Dudorova National Medical and Surgical Center named after N.I. Pirogov Email: [email protected] ORCID iD: 0000-0002-9265-6431 Russian Federation, Moscow

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