Surgery: Rectovaginal septum, endometriosis or adenomyosis: laparoscopic management in a series of 231 patients
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Laparoscopic excision of deep rectovaginal septum endometriosis in 231 patients resulted in pain relief with rare complications, and the resected nodules were histologically characterized as 'rectovaginal adenomyosis.'
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Abstract
A series of 231 cases of deep-infiltrating endometriosis of the rectovaginal septum is presented. Laparoscopic procedures with excision of deep fibrotic endometriotic nodules were performed in all cases. In three cases, the bowel lumen was entered. No other peri-operative complications were observed. Three cases of urinary retention were reported. The nodule resection resulted in considerable pain relief. Histologically, the rectovaginal nodule was similar to an adenomyoma. Indeed it was a circumscribed nodular aggregate of smooth muscle and endometrial glands. This form of disease must be considered as a specific disease which originates from the Mullerian rests present in the rectovaginal septum and we suggest that it be called 'rectovaginal adenomyosis'.
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- Impact of osteopathic manipulative therapy on quality of life of patients with deep infiltrating endometriosis with colorectal involvement: results of a pilot study 2015
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- Systematic review of the outcome associated with the different surgical treatment of bowel and rectovaginal endometriosis 2013
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