Surgical Therapies: Pouch of Douglas and Uterovaginal Pouch Resection for Endometriosis

Maurício Simões Abrão; Sérgio Podgaec; Luiz Flávio Cordeiro Fernandes

doi:10.1002/9781444398519.ch39

Surgical Therapies: Pouch of Douglas and Uterovaginal Pouch Resection for Endometriosis

Maurício Simões Abrão, Sérgio Podgaec, Luiz Flávio Cordeiro Fernandes

In: Endometriosis · 2011 · pp. 402–409 · doi:10.1002/9781444398519.ch39 · W1577815860

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

This paper reviews anatomical considerations, presurgical evaluation, and surgical tactics for resecting the pouch of Douglas and uterovaginal septum in endometriosis patients.

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Abstract

Endometriosis in itself is a challenging disease. When the pouch of Douglas and the rectovaginal septum are affected, a further challenge is added to this conundrum. This chapter presents all the information required by the surgeon to treat these sites appropriately, beginning with the relevant anatomy and its principal reference points, and the importance of adequate presurgical evaluation with respect to both the clinical status of the patient and to imaging exams. Finally, we share some handy tips and helpful surgical tactics that we have accumulated over years of experience in dealing with this disease.

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Condition tags

endometriosis

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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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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License: CC0 · commercial use OK

[1] A 3-year follow-up of women with endometriosis and pelvic pain users of the levonorgestrel-releasing intrauterine system via openalex

[2] Accuracy of magnetic resonance imaging for diagnosis and preoperative assessment of deeply infiltrating endometriosis via openalex

[3] Combination of transvaginal sonography and clinical examination for preoperative diagnosis of pelvic endometriosis via openalex

[4] Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis via openalex

[5] Does the learning curve of conservative laparoscopic surgery in women with rectovaginal endometriosis impair the recurrence rate? via openalex

[6] Endometriosis lesions that compromise the rectum deeper than the inner muscularis layer have more than 40% of the circumference of the rectum affected by the disease via openalex

[7] Endometriosis of the ureter and bladder are not associated diseases via openalex

[8] Excision of the posterior vaginal fornix is necessary to ensure complete resection of rectovaginal endometriotic nodules of more than 2 cm in size via openalex

[9] Laparoscopic management of colorectal endometriosis via openalex

[10] Laparoscopic nerve-sparing complete excision of deep endometriosis: is it feasible? via openalex

[11] Medical treatment for rectovaginal endometriosis: what is the evidence? via openalex

[12] Radical excision of rectovaginal endometriosis results in high rate of pain relief - results of a long-term follow-up study via openalex

[13] Rectal endoscopic ultrasound with a radial probe in the assessment of rectovaginal endometriosis via openalex

[14] Rectovaginal endometriosis -- a frequently missed diagnosis via openalex

[15] [Rectovaginal septum endometriosis: a disease with specific diagnosis and treatment] via openalex

[16] Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis via openalex

[17] The levonorgestrel-releasing intrauterine device reduces CA-125 serum levels in patients with endometriosis via openalex

[18] [The use of transvaginal sonography (TVS) for preoperative diagnosis of pelvic endometriosis] via openalex

[19] Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women via openalex

[20] Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy via openalex

[21] Transvaginal ultrasound for diagnosis of deeply infiltrating endometriosis via openalex

[22] W2167099079 via openalex

[23] W2100503022 via openalex

[24] W2114736232 via openalex

[25] W2120031582 via openalex

[26] W2123134517 via openalex

[27] W2123605994 via openalex

[28] W2134618546 via openalex

[29] W2153607635 via openalex

[30] W2154095911 via openalex

[31] W2158022118 via openalex

[32] W305409634 via openalex