Rectal shaving using PlasmaJet in deep endometriosis of the rectum
Case report
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⤵ 29 in-corpus citations
AI-generated summary
This study investigated the efficacy and safety of PlasmaJet technology for rectal shaving in patients with deep infiltrating endometriosis of the rectum.
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Abstract
OBJECTIVE: To report an original technique of rectal shaving using the PlasmaJet system (Plasma Surgical, Inc.) for the management of deep endometriosis of the rectum.
DESIGN: Video demonstration of a new surgical technique.
SETTING: Hospital.
PATIENT(S): A 34 year-old primipara with a deep endometriosis involving the vagina and the mid-rectum over 30 mm.
INTERVENTION(S): An original technique of rectal shaving.
MAIN OUTCOME MEASURE(S): The procedure is based on the specific properties of PlasmaJet: the lack of lateral thermal spread around the jet of plasma making the dissection on contact of rectal wall safe, the precise ablative property allowing for in situ ablation of rectal endometriosis implants, and the kinetic energy enhancing the dissection of subperitoneal spaces. The steps of the technique and the role of PlasmaJet are emphasized. The surgical technique report using anonymous patients is exempt from ethical approval by the IRB.
RESULT(S): The patient's outcome was uneventful, and colorectal complaints were completely relieved one week after surgery. Since November 2012, we have employed this technique in 18 patients, with only favorable outcomes.
CONCLUSION(S): The technique described in this video article may represent a step toward a more complete removal of endometriotic implants and better colorectal outcomes.
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References (5)
- Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules via openalex
- Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum via openalex
- Rectovaginal septum, endometriosis or adenomyosis: laparoscopic management in a series of 231 patients via openalex
- Surgical management of deep infiltrating endometriosis of the rectum: pleading for a symptom-guided approach via openalex
- W2102139422 via openalex
Cited by (29)
- Enhanced peroperative imaging of endometriosis and peritoneal carcinomatosis 2024
- Laparoscopic treatment of deep endometriosis with a diode laser: our experience 2021
- Recommendations for a Combined Laparoscopic and Transanal Approach in Treating Deep Endometriosis of the Lower Rectum-The Rouen Technique 2021
- Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis 2020
- Infertilidad y endometriosis 2020
- Systematic Nerve Sparing during Surgery for Deep-infiltrating Posterior Endometriosis Improves Immediate Postoperative Urinary Outcomes 2020
- Recommendations for the surgical treatment of endometriosis Part 2: deep endometriosis †‡¶ 2020
- What Is the Place of Surgery of Deep Endometriosis in Infertile and Pelvic Pain Patients? 2020
- Choosing the right technique for deep endometriosis 2019
- Surgical Site Infection in Endometriosis Surgery Is a Rare Complication: Results of a Single Center's Prospective Surveillance of Eight Hundred Ninety-Six Procedures 2019
- Excision versus colorectal resection in deep endometriosis infiltrating the rectum: 5-year follow-up of patients enrolled in a randomized controlled trial 2019
- Diverting stoma-related complications following colorectal endometriosis surgery: a 163-patient cohort 2018
- Postoperative complications after bowel endometriosis surgery by shaving, disc excision, or segmental resection: a three-arm comparative analysis of 364 consecutive cases 2018
- Rectal Shaving Using Plasma Energy in Deep Infiltrating Endometriosis of the Rectum: Four Years of Experience 2017
- Combined vaginal-laparoscopic-transanal approach for reducing bladder dysfunction after conservative surgery in large deep rectovaginal endometriosis 2016
- Transanal minimally invasive rectal resection for deep endometriosis: a promising technique 2016
- Recurrent massive ascites due to mossy endometriosis 2016
- Rectal shaving for deep endometriosis infiltrating the rectum: a 5-year continuous retrospective series 2016
- Recurrent Hemoperitoneum During Pregnancy in Large Deep Endometriosis Infiltrating the Parametrium 2016
- Magnetic resonance enema vs rectal water-contrast transvaginal sonography in diagnosis of rectosigmoid endometriosis 2016
- How to Manage Bowel Endometriosis: The ETIC Approach 2015
- Deep shaving and transanal disc excision in large endometriosis of mid and lower rectum: the Rouen technique 2015
- Full-Thickness Disc Excision in Deep Endometriotic Nodules of the Rectum: A Prospective Cohort 2015
- Full-Thickness Disc Excision in Deep Endometriotic Nodules of the Rectum: A Prospective Cohort 2015
- Laparoscopic and transanal excision of large lower- and mid-rectal deep endometriotic nodules: the Rouen technique 2014
- Antimullerian hormone level and endometrioma ablation using plasma energy 2014
- Deep rectal shaving followed by transanal disc excision in large deep endometriosis of the lower rectum 2014
- Deep rectal shaving using plasma energy for endometriosis causing rectal stenosis - a video vignette 2014
- New disc excision procedure for low and mid rectal endometriosis nodules using combined transanal and laparoscopic approach 2014
Source provenance
- europepmc
- last seen: 2026-10-12T06:17:10.165071+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:12:29.265612+00:00
- unpaywall
- last seen: 2026-10-09T06:36:44.367587+00:00
License: CC0
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