Rectovaginal Endometriosis
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This review discusses the historical shift in rectovaginal endometriosis treatment from conservative surgical excision to less aggressive laparoscopic techniques, medical suppression, or hysterectomy due to perceived surgical difficulties and misconceptions.
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Abstract
In the early 1950s endometriosis was considered to be a disease that was curable by conservative excisional surgery at laparotomy.1 Recently, however, the most common treatments chosen have been non-aggressive laparoscopic thermal ablative techniques (such as laser vaporization, electrocoagulation, or endocoagulation), medical suppression, or removal of the reproductive organs with retention of endometriosis. The length and difficulty of endoscopic excisional procedures, inadequate reimbursement, fear of adhesion formation, and the misconception that new disease was a common sequelae to all methods of surgical treatment led many gynecologic surgeons to abandon excision.
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (2)
References (4)
- Laparoscopic Management of Intestinal Endometriosis via openalex
- Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en bloc resection via openalex
- W190587926 via openalex
- W2113227844 via openalex
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
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