Surgical Treatment of the Severe Rectum Endometriosis

Objective:This paper introduced a new operative method used in patients with severe rectal endometriosis for reducing bleeding,decreasing duration of surgery and postoperative complications.Method:The new surgical method was applied in82cases.The surgical proceeding included resection the lesion at rectal anterior,removal mucous membrane stratum of posterior rectum,muscle stratum of posterior rectum made1-2fold,and end-to-end rectal anastomosis.The traditional operation,which included low-anterior rectum removal and/or sleeve colocutaneous,was used in54cases as control.Results:Duration of surgery was obviˉously shorted in the new surgical operation group.Since the mesentery of sigmoid colon,the superior rectal artery and the muscle stratum of posterior rectum were retained.Proper blood supply of the two end sections of rectum was ensured.The muscle stratum of posterior rectum was folded and sutured.Thus,the posterior recˉtum wall was strengthened and the rectal anastomosis fistula was prevented.During the following-up,there was no rectal anastomosis fistula in the two groups.There was no rectal stricture in the new surgical method group.Conclusion:The novel approach could be easily applied in surgical operation,by which the lesion of severe rectal endometriosis was removed extensively and thoroughly.Furthermore,using this method,postoperative recurrence and incidence of intestinal anastoomsis fistula were reduced.