Empfehlungen zur operativen Therapie der tief infiltrierenden Endometriose des Rektums
This paper provides recommendations for the surgical treatment of deep infiltrating rectal endometriosis, intended as a guide for clinicians based on available evidence and expert experience.
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This paper reports results from a working group meeting at the Weissensee 2024 conference of the Stiftung Endometriose-Forschung, using the available evidence on bowel (intestinal) endometriosis and, where evidence was lacking, the clinical experience of the authors, to compile practical recommendations for operative therapy of deep infiltrating rectal endometriosis. The main outcome is a “handbook” intended to help clinicians draft and standardize clinic-internal procedures aimed at avoiding or early recognizing complications, rather than serving as a binding guideline, and the authors explicitly note they are not commissioned to issue guideline directives. A stated limitation is that recommendations are based on heterogeneous available evidence plus expert experience in areas with insufficient data, reflecting that it is not a formal, guideline-level evidence synthesis. This paper is centrally about endometriosis — specifically recommendations for operative therapy of deep infiltrating rectal endometriosis.
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