PORQUE PRESERVAR O RETO EM ENDOMETRIOSE DO RETO MÉDIO E BAIXO

The paper addresses rectal endometriosis and evaluates a conservative surgical approach in 100 women (mean age 33) with endometriosis of the rectum, all initially treated with rectal shaving using electrocautery regardless of lesion size, location, or infiltration grade. The main finding is that shaving is presented as a safe, feasible, and reproducible technique with recurrence comparable to other techniques and a lower incidence of fistulas and functional sequelae affecting evacuation and urinary function, with reported advantages including shorter operative time and faster recovery. A noted limitation is that the surgical strategy did not convert to low rectal resection with anastomosis in extensive cases; instead, when infiltration reached the mucosa/submucosa, manual or mechanical suturing was used, implying technical dependence on extent and depth. This paper is centrally about endometriosis — it specifically focuses on preserving the rectum via shaving for mid- and low-rectal endometriosis.

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