Laparoscopic anterior resection of the rectum and hysterectomy in a patient with extensive pelvic endometriosis

Harry Reich, Carl Wood, M. Whittaker
In: Gynaecological Endoscopy · 1998 · vol. 7(2) , pp. 79–83 · doi:10.1046/j.1365-2508.1998.00162.x · W2035969956
article OA: closed CC0 ⤵ 6 in-corpus citations
View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study reports a successful laparoscopic anterior rectal resection and hysterectomy for extensive pelvic endometriosis, demonstrating the feasibility of the technique and its positive outcomes for patients.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Objective To assess the feasibility of excising rectal endometriosis using laparoscopic techniques and reanastomosing the rectum using a circular stapling device. Subject A 41‐year‐old woman with recurrent stage IV endometriosis (revised American Fertility Society classification). Interventions Laparoscopic excision of stage IV endometriosis, laparoscopic hysterectomy, right salpingo‐oöphorectomy, appendicectomy, anterior rectal resection and reanastomosis with circular stapler. Main outcome measures Surgical outcome, involvement of endometriosis, operative time, duration of hospital stay, complications, histological involvement of organs with endometriosis and 1‐year follow up. Results The procedure was uncomplicated and took 3 h to complete. The patient was discharged home on day 4. Histological analysis revealed endometriotic involvement through to the rectal mucosa and also of the appendix. The uterus revealed adenomyosis. At 1‐year follow up, the patient was free from the symptoms associated with her pelvic endometriosis Conclusions Laparoscopic anterior resection of the rectum using a stapler fashioned to provide an end‐to‐end anastomosis was performed in association with a total laparoscopic hysterectomy. Advanced rectovaginal endometriosis may involve the full thickness of the rectal wall, the endometriosis may be excised laparoscopically and the rectal disease can be excised without performing a laparotomy. By avoiding the need for laparotomy, this allows the patient the advantages of reductions in pain, hospital stay and duration of convalescence.

My notes (saved in your browser only)

Condition tags

endometriosisadenomyosisbowel_endometriosis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (12)

Cited by (6)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK