Deeply infiltrating endometriosis of the rectum: shave, disc or segmental excision?

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This paper reviews surgical options for deeply infiltrating rectal endometriosis, comparing shave, disc, and segmental excision techniques.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper is a short commentary/editorial that discusses surgical approaches for deeply infiltrating endometriosis involving the rectum, specifically comparing shave, disc, and segmental excision strategies. It draws on prior literature on operative technique and outcomes for laparoscopic rectal resection, and also references studies assessing functional recovery and continence after rectal surgery for other indications. A key limitation is that, as presented, it does not provide new patient data or original comparative results among the three rectal excision methods, instead synthesizing and framing existing evidence. This paper is centrally about endometriosis — it focuses on management options for deeply infiltrating rectal endometriosis and how different excision approaches relate to surgical and functional considerations.

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References Ruffo G, Sartori A, Crippa S, Partelli S, Barugola G, Manzoni A, Steinasserer M, Minelli L, Falconi M (2012) Laparoscopic rectal resection for severe endometriosis of the mid and low rectum: technique and operative results. Surg Endosc 26:1035–1040 Williamson M, Lewis W, Finan P, Miller A, Holdsworth P, Johnston D (1995) Recovery of physiologic and clinical function after low anterior resection of the rectum for carcinoma: myth or reality? Dis Colon Rectum 38:411–418 Batignani G, Monaci I, Ficari F, Tonelli F (1991) What affects continence after anterior resection of the rectum? Dis Colon Rectum 34(4):329–335 Karanjia N, Scacha D, Heald R (1992) Function of the distal rectum after low anterior resection for carcinoma. Br J Surg 79:114–116 Koh C, Juszczyk K, Cooper M, Solomon M (2012) Management of deeply infiltrating endometriosis involving the rectum. Dis Colon Rectum 55:925–931 Donnez J, Squifflet J (2010) Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules. Hum Reprod 25(8):1949–1958 Ballester M, Santulli P, Bazot M, Coutant C, Rouzier R, Daraï E (2011) Preoperative evaluation of posterior deep-infiltrating endometriosis demonstrates a relationship with urinary dysfunction and parametrial involvement. J Minim Invasive Gynecol 18(1):36–42 Disclosures Drs. Koh, Cooper, and Solomon have no conflicts of interest or financial ties to disclose. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Koh, C.E., Cooper, M.J. & Solomon, M.J. Deeply infiltrating endometriosis of the rectum: shave, disc or segmental excision?. Surg Endosc 27, 2644–2645 (2013). https://doi.org/10.1007/s00464-012-2744-z Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00464-012-2744-z

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Rectal Diseases Rectum Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy Rectal Diseases Rectal Diseases Rectum Rectum

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