Surgical treatment for colorectal endometriosis. A clinical case

Alla K. Politova, Andrey V. Maksimenkov, Yu. A. Vershinina, Anastasia D. Alexandrova, Svetlana V. Dudorova
In: Journal of obstetrics and women's diseases · 2023 · vol. 71(6) , pp. 113–124 · doi:10.17816/jowd108025 · W4319345415
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case report details successful robotic-assisted surgical excision of deep rectal endometriosis, highlighting the system's precision and improved capabilities for complex colorectal procedures.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This clinical case report describes successful surgical management of a patient with deep endometriosis involving the rectum using the Da Vinci robotic surgical system, highlighting features such as 3D visualization and EndoWrist instruments with seven degrees of freedom to improve precision in a minimally invasive setting. The article also outlines surgical treatment options for colorectal endometriosis—including shaving, discoid, and circular bowel resections with anastomosis—and states that choosing a strategy should consider disease course, outcomes of conservative therapy and imaging (ultrasound, MRI), and the patient’s reproductive plans. The authors present excision of the infiltrate as effective for pain relief, quality of life, and restoring reproductive function, while the case-report format is an explicit limitation because it does not provide broader comparative effectiveness data. This paper is centrally about endometriosis — specifically robotic surgical treatment for colorectal (rectal) deep endometriosis.

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Abstract

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 surgeons 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 womans 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.

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Condition tags

endometriosis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (18)

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