Rectovaginal Endometriosis

In: Contemporary Coloproctology · 2011 · pp. 465–474 · doi:10.1007/978-0-85729-889-8_32 · W4249825574
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This paper discusses endometriosis, a condition affecting 8-18% of reproductive-aged women, where surgery is reserved for those unresponsive to first-line medical management.

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This chapter reviews the clinical management of rectovaginal endometriosis, noting that while superficial serosal deposits are typically treated with ablative surgery, deeper lesions require colorectal surgical intervention. It highlights that first-line medical therapy is often insufficient for nonresponders, necessitating surgical options such as laparoscopic excision or bowel resection for deep infiltrating disease. The text discusses various surgical techniques and their outcomes, emphasizing the interdisciplinary approach required for complex cases involving the rectal wall and cul-de-sac obliteration. This paper is centrally about endometriosis — specifically focusing on the diagnosis and surgical treatment of deep infiltrating rectovaginal endometriosis.

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Abstract

Endometriosis is a gynecological condition that affects 8–18% of women of reproductive age [1]. First-line management is medical, with surgery reserved for nonresponders [2]. In the majority of cases, the superficial nature of the serosal endometrial deposits lends themselves to surface ablative surgery such as diathermy, and as such, this is not an area of surgery that comes to the attention of the colorectal surgeon. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Zwas FR, Lyon DT. Endometriosis in important condition in clinical gastroenterology. Dig Dis Sci. 1991;36:353–64. Li TC, Lashen H, Adam I, Wong YM. The management of rectovaginal endometriosis. In: Li TC, Ledger WL, editors. Chronic pelvic pain. London: Taylor & Francis; 2005. p. 61–73. Garry R. Laparoscopic excision of endometriosis: treatment of choice? Br J Obstet Gynaecol. 1997;104:513–5. Maytham GD, Dowson HM, Levy B, et al. Laparoscopic excision of rectovaginal endometriosis: report of a prospective study and review of the literature. Colorectal Dis. 2010;12:1105–12. Batt RE, Udgawa SM, Wheeler JM. Endometriosis: microconservative surgery. In: Hunt RB, editor. Atlas of female infertility surgery. 2nd ed. St. Louis: Mosby Year Book; 1992. p. 454–81. Kavallaris A, Kohler C, Kuhne-Heid R, et al. Histopathological extent of rectal invasion by rectovaginal endometriosis. Hum Reprod. 2003;18:1323–7. Donnez J, Nisolle M, Gillerot S, et al. Rectovaginal septum adenomyotic nodules: a series of 500 cases. Br J Obstet Gynaecol. 1997;104:1014–8. Bailey HR, Ott MT, Hartendorp P, et al. Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum. 1994;37:747–53. Redwine DB, Wright JT. Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en bloc resection. Fertil Steril. 2001;76:358–65. Brouwer R, Woods RJ. Rectal endometriosis: results of radical excision and review of published work. Aust N Z J Surg. 2007;77:562–71. De Cicco C, Corona R, Schonman R, et al. Bowel resection for deep endometriosis: a systematic review. Br J Obstet Gynaecol. 2011;118:285–91. Ford J, English J, Miles W, et al. Pain, quality of life and complications following the radical resection of rectovaginal endometriosis. Br J Obstet Gynaecol. 2004;111:353–6. Garry R, Clayton R, Haew J. The effect of endometriosis and its radical laparoscopic excision on quality of life indicators. Br J Obstet Gynaecol. 2000;107:44–54. Fleisch MC, Xafis D, De Bruyne F, et al. Radical resection of invasive endometriosis with bowel of bladder involvement – long-term results. Eur J Obstet Gynecol Reprod Biol. 2005;123:224–9. Bazot M, Lafont C, Rouzier R, et al. Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril. 2009;92:1825–33. Landi S, Barbieri F, Fiaccavento A, et al. Preoperative double-contrast barium enema in patients with suspected intestinal endometriosis. J Am Assoc Gynecol Laparosc. 2004;11:223–8. Woods RJ, Heriot AG, Chen FC. Anterior rectal wall excision for endometriosis using the circular stapler. Aust N Z J Surg. 2003;73:647–8. Remorgida V, Ragni N, Ferrero S, et al. How complete is full thickness disc resection of bowel endometriotic lesions? A prospective surgical and histological study. Hum Reprod. 2005;20:2317–20. Donnez J, Squifflet J. Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules. Hum Reprod. 2010;25:1949–58. Campagnacci R, Perretta S, Guerrieri M, et al. Laparoscopic colorectal resection for endometriosis. Surg Endosc. 2005;19:662–4. Keckstein J, Weisniger H. Deep endometriosis, including intestinal involvement – the interdisciplinary approach. Minim Invasive Ther Allied Technol. 2005;14:160–6. Abrao MS, Sagae UE, Gonzales M, et al. Treatment of rectosigmoid endometriosis by laparoscopically assisted vaginal rectosigmoidectomy. Int J Gynaecol Obstet. 2005;91:27–31. Mohr C, Nezhat FR, Nezhat CH, et al. Fertility considerations in laparoscopic treatment of infiltrative bowel endometriosis. JSLS. 2005;9:16–24. Darai E, Bazor M, Rouzier R, et al. Outcome of laparoscopic colorectal resection for endometriosis. Curr Opin Obstet Gynaecol. 2007;19:308–13. Seracchioli R, Poggioli G, Pierangeli F, et al. Surgical outcome and long-term follow up after laparoscopic rectosigmoid resection in women with deep infiltrating endometriosis. Br J Obstet Gynaecol. 2007;114:889–95. Ruffo G, Scopelliti F, Scioscia M, et al. Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases. Surg Endosc. 2010;24:63–7. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2012 Springer-Verlag London Limited About this chapter Cite this chapter Adam, I.J. (2012). Rectovaginal Endometriosis. In: Brown, S., Hartley, J., Hill, J., Scott, N., Williams, J. (eds) Contemporary Coloproctology. Springer, London. https://doi.org/10.1007/978-0-85729-889-8_32 Download citation DOI: https://doi.org/10.1007/978-0-85729-889-8_32 Published: Publisher Name: Springer, London Print ISBN: 978-0-85729-888-1 Online ISBN: 978-0-85729-889-8 eBook Packages: MedicineMedicine (R0)

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endometriosisbowel_endometriosis

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