Totally intracorporeal robotic en bloc resection for deep infiltrating endometriosis of the rectovaginal wall with natural orifice specimen extraction

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This study demonstrates a totally intracorporeal robotic en bloc resection for deep infiltrating endometriosis of the rectovaginal wall using natural orifice specimen extraction.

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This technical report describes a surgical technique for the treatment of deep infiltrating endometriosis affecting the rectovaginal wall. The authors detail a totally intracorporeal robotic en bloc resection procedure that incorporates natural orifice specimen extraction to minimize external incisions. The paper presents the methodological steps and perioperative considerations for this specific minimally invasive approach without reporting on a large cohort study or long-term outcomes. This paper is centrally about endometriosis — specifically the robotic surgical management of deep infiltrating lesions in the rectovaginal septum.

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References Nehzat C, Lewis M, Kotikela S, Veeraswamy A, Saadat L, Hajhosseini B (2010) Robotic versus standard laparoscopy for the treatment of endometriosis. Fertil Steril 94:2758–2760 Brudie L, Gaia G, Ahmad S, Finkler N, Bigsby G, Ghurani G et al (2012) Perioperative outcomes of patients with stage IV endometriosis undergoing robotic-assisted laparoscopic surgery. J Robot Surg 6:317–322 Neme RM, Schraibman V, Okazaki S, Maccapani G, Chen WJ, Domit CD, Kaufmann OG, Advincula AP (2013) Deep infiltrating colorectal endometriosis treated with robotic-assisted rectosigmoidectomy. JSLS 17:227–234 Hanssens S, Nisolle M, Leguevque P, Neme RM, Cela V, Barton-Smith P, Hébert T, Collinet P (2014) Robotic-assisted laparoscopy for deep infiltrating endometriosis: the register of the Society of European Robotic Synaecological Surgery. Gynécologie Obstétrique Fertilité 42:744–748 Pellegrino A, Damiani GR, Trio C, Faccioli P, Croce P, Tagliabue F, Dainese E (2015) Robotic shaving technique in 25 patients affected by deep infiltrating endometriosis of the rectovaginal space. J Minim Invasive Gynecol 22:1287–1292 Funding This work does not have any financial source. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest The authors declare that they have no conflicts of interest and nothing to disclose. Ethical approval This work has been approved by the appropriate ethics committee and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Informed consent Research involves a human participant, who has signed a personal informed consent. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Electronic supplementary material Below is the link to the electronic supplementary material. Supplementary material 1 (MP4 78972 kb) Supplementary material 2 (MP4 78938 kb) Rights and permissions About this article Cite this article Bravo, R., Blaker, K. & Pigazzi, A. Totally intracorporeal robotic en bloc resection for deep infiltrating endometriosis of the rectovaginal wall with natural orifice specimen extraction. Tech Coloproctol 23, 589–591 (2019). https://doi.org/10.1007/s10151-019-01989-w Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s10151-019-01989-w

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Natural Orifice Endoscopic Surgery Proctectomy Rectal Diseases Robotic Surgical Procedures Vagina Endometriosis Endometriosis Female Female Humans Humans Natural Orifice Endoscopic Surgery Natural Orifice Endoscopic Surgery Proctectomy Proctectomy Rectal Diseases Rectal Diseases Rectum Rectum

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