Current surgical approach to bowel endometriosis resection adopted by the Crispi Institute for Minimally Invasive Surgery – a private institution located in Rio de Janeiro, RJ, Brazil.

Claudio Peixoto Crispi Jr (21192258), Claudio Peixoto Crispi (8276685), Claudia Maria Vale Joaquim (21192261), Paulo Sergio da Silva Reis Jr (21192264), Nilton de Nadai Filho (8276697), Bruna Rafaela Santos de Oliveira (10692714), Camilla Gabriely Souza Guerra (21192267), Marlon de Freitas Fonseca (8276703)
2025 · doi:10.1371/journal.pone.0320138.g001 · W7110913894
Other OA: green CC0
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The Crispi Institute in Brazil describes its surgical approach to bowel endometriosis resection, noting that linear stapler resection was not utilized despite its established safety for anterior rectal wall nodules affecting less than one-third of the circumference.

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This paper outlines the surgical protocols for bowel endometriosis resection utilized at the Crispi Institute in Rio de Janeiro, Brazil. The authors describe their experience with the double circular stapler technique over a decade-long period, contrasting it with linear stapler methods. They note that while linear stapling is considered safe for anterior rectal wall nodules affecting less than one-third of the circumference, it was not employed in this specific series. This paper is centrally about endometriosis — specifically the surgical management and resection techniques for deep infiltrating lesions affecting the bowel.

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Abstract

Although the linear stapler resection has been shown as a safe alternative to segmental colorectal resection for endometriotic nodules on the anterior rectal wall when less than one-third of the circumference is affected [63], it was not used in this series.
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Follow-up of bowel endometriosis resections performed using the double circular stapler technique: A decade’s experience Fig 1 Current surgical approach to bowel endometriosis resection adopted by the Crispi Institute for Minimally Invasive Surgery – a private institution located in Rio de Janeiro, RJ, Brazil. Although the linear stapler resection has been shown as a safe alternative to segmental colorectal resection for endometriotic nodules on the anterior rectal wall when less than one-third of the circumference is affected [63], it was not used in this series.

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endometriosisbowel_endometriosis

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