Laparoscopic and transanal excision of large lower- and mid-rectal deep endometriotic nodules: the Rouen technique

Horace Roman, Jean Jacques Tuech, Jean‐Jacques Tuech, Tuech JJ
Fertility and sterility · 2014 · vol. 102(2) , pp. e7 · doi:10.1016/j.fertnstert.2014.04.038 · PMID:24864009 · W2124012242
article OA: bronze CC0 ⤵ 12 in-corpus citations
🔓 Open OA copy View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper describes the Rouen technique for laparoscopic and transanal excision of large deep endometriotic nodules located in the lower and mid-rectum.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

ObjectiveTo report an original technique of combined laparoscopic and transanal disc excision of lower- and mid-rectal deep endometriotic nodules.DesignVideo article introducing a new surgical technique.SettingUniversity hospital.Patient(s)A 30-year-old nullipara with symptomatic deep endometriosis-large nodules involving the vagina and the lower rectum over 30 mm.Intervention(s)An original technique of combined laparoscopic and transanal approaches, including deep rectal shaving using PlasmaJet, followed by transanal full thickness disc excision of the shaved area using the Contour Transtar stapler.Main outcome measure(s)The procedure is based on specific properties of PlasmaJet (the lack of lateral thermal spread making the dissection on contact of the rectal wall safe, the precise ablative property allowing for in situ ablation of rectal endometriosis implants) and those of the Contour Transtar stapler, which was originally developed to perform stapled transanal rectal resection of the internal rectal prolapse or rectocele. The steps of the Rouen technique and the role of the two devices are emphasized. Surgical technique reports in anonymous patients are exempted from ethical approval by the Institutional Review Board. The patient gave consent to use the video in the article.Result(s)The patient's functional outcome was uneventful, except for transitory incomplete bladder voiding. Since June 2009, we have successfully employed this technique in 15 patients with low rectal nodules, with only favorable digestive functional outcomes.Conclusion(s)Our technique is suitable for large nodules involving the lower and mid-rectum and avoids low colorectal resection, thus increasing the chance of favorable functional digestive outcomes.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Endometriosis Gynecologic Surgical Procedures Gynecologic Surgical Procedures Gynecologic Surgical Procedures Laparoscopy Laparoscopy Laparoscopy Rectal Diseases Vaginal Diseases Adult Endometriosis Endometriosis Female Humans Rectal Diseases Rectal Diseases Surgical Staplers

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 (6)

Cited by (12)

Source provenance

europepmc
last seen: 2026-08-04T06:16:37.499272+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:18:29.016410+00:00
License: CC0 · commercial use OK