Deep rectovaginal endometriotic nodules: perioperative complications from a series of 3,298 patients operated on by the shaving technique

Jacques Donnez, Pascale Jadoul, Sébastien Colette, Mathieu Luyckx, Jean Squifflet, Olivier Donnez
In: Gynecological Surgery · 2012 · vol. 10(1) , pp. 31–40 · doi:10.1007/s10397-012-0759-z · W1966744561
article OA: closed CC0 ⤵ 26 in-corpus citations
Limited metadata. Only one source feed has indexed this record so far — no abstract, full text, or open-access copy is available through Endo Lab. The publisher's page (linked below) is the canonical location for the actual content. If you have institutional access, use "Find at my library".
View at publisher → View on OpenAlex
⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

In 3,298 patients with deep rectovaginal endometriosis, the shaving technique without bowel resection resulted in low rates of rectal perforation (1.3%), ureteral retention (0.64%), and ureteral injury (0.3%).

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

⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This study analyzed perioperative complication and recurrence rates in 3,298 consecutive patients undergoing laparoscopic deep rectovaginal endometriotic nodule surgery using the shaving technique, aiming to avoid bowel resection. The authors report major complications including rectal perforation (42/3,298; 1.3%), ureteral retention (<5 days; 0.64%), ureteral injury (0.3%), and fecal peritonitis (0.04%), with rectal lumen–based bowel resection required in only 1.1% of cases. A histologic characterization of lesions showed smooth muscle mixed with endometrial glands and scanty stroma, with lesions invaded by nerve fibers, supported by immunohistochemistry for the nerve marker PGP9.5. The paper’s major limitation is that it is a single-series analysis presented without detailed recurrence results in the provided text and includes early-era surgical variations (e.g., closure practices) that may influence complication rates. This paper is centrally about endometriosis — it specifically evaluates perioperative complications from laparoscopic shaving surgery for deep rectovaginal endometriotic nodules (including rectovaginal septum disease sometimes discussed alongside adenomyosis concepts).

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

My notes (saved in your browser only)

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 (57)

Cited by (26)

Source provenance

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