Histopathology-based combined surgical approach to rectovaginal endometriosis

Mandy Mangler, Mangler M, Loddenkemper C, Christoph Loddenkemper, Malgorzata Lanowska, Lanowska M, Bartley J, Julia Bartley, Schneider A, Achim Schneider, Christhardt Köhler, Köhler C
International Journal of Gynecology & Obstetrics · 2008 · vol. 103(1) , pp. 59–64 · doi:10.1016/j.ijgo.2008.06.009 · PMID:18721921 · W1974943749
Other OA: closed CC0 ⤵ 12 in-corpus citations
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This study developed and tested a new surgical technique for rectovaginal endometriosis, confirming infiltration intraoperatively and allowing precise treatment without mesorectal resection.

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Abstract

OBJECTIVE: To describe a new surgical approach to rectovaginal endometriosis. Rectovaginal endometriosis can be infiltrative or superficial involving the bowel. Only infiltrative disease should be treated by intestinal resection. However, infiltration of endometriosis cannot be confirmed by preoperative imaging techniques. METHODS: A total of 48 women with infiltrative rectovaginal endometriosis were included in this prospective study. Surgery was performed using a newly developed technique. All bowel resections were indicated according to operative findings and not on the basis of preoperative imaging technique results. RESULTS: The decision for rectosigmoidal resection was based on the results of the intraoperative dissection of the rectovaginal septum. Histologically, infiltration of the ventral bowel wall was confirmed in all cases. CONCLUSION: This new surgical technique for the treatment of rectovaginal endometriosis allows precise diagnosis and treatment with low morbidity. A resection of the mesorectum is not necessary because the endometriotic nodules are always located on the antimesenteric surface of the bowel.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Intraoperative Care Rectal Diseases Vaginal Diseases Adult Adult Endometriosis Endometriosis Endometriosis Female Female Humans Humans Intraoperative Care Intraoperative Care Middle Aged Middle Aged Postoperative Complications Postoperative Complications Prospective Studies

Citation neighborhood (2-hop)

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 ]

References (27)

Cited by (13)

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