Rectovaginal endometriosis – analysis of 160 cases.
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This retrospective analysis of 160 rectovaginal endometriosis cases found that laparoscopic, vaginal, and combined vagino-laparoscopic surgeries are safe and effective for lesion resection with a low complication rate.
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Abstract
OBJECTIVES: The aim of the study was a retrospective analysis of the medical records of patients who underwent surgery due to deep infiltrating rectovaginal endometriosis (mainly with the use of the 'shaving' technique). MATERIAL AND METHODS: We analysed 160 cases of patients who underwent surgery due to the deep infiltrating rectovaginal endometriosis in our ward between 2003-2014. Depending on lesion localization, disease severity and clinical characteristics, three possible ways of operation were proposed: laparoscopic, vaginal or a combined vagino-laparoscopic approach. RESULTS: A total of 120 patients underwent laparoscopic removal of the endometrial lesions, whereas 17 were operated vaginally and 23 with the use of the combined approach. Nodule resection was successfully performed in all cases. The combined vagino-laparoscopic operations were characterized by the longest operating time. The rate of perioperative complications was low in the group of patients who underwent laparoscopic or combined operations. The necessity of bowel wall suturing occurred in 15 cases. This procedure was performed in order to strengthen the bowel wall (in cases when no perforation occurred) or due to bowel resection during surgery. Unexpected bowel perforation occurred in only 5 cases. Conclusions: Vaginal, laparoscopic and the combined vagino-laparoscopic surgeries can be safely performed in cases of deep rectovaginal endometriosis.
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References (13)
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Cited by (3)
- Symptom control after different duration of triptorelin treatment following conservative surgery for deep infiltrating endometriosis 2021
- The assessment of GWAS — identified polymorphisms associated with infertility risk in Polish women with endometriosis 2018
- Conservative treatment of deep infiltrating endometriosis: review of existing options 2017
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:21:07.355239+00:00
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