Laparoscopic colorectal resections with transvaginal specimen extraction for severe endometriosis

L Boni, Boni L, Luca Boni, S Tenconi, Silvia Tenconi, Tenconi S, Beretta P, P Beretta, A Cromi, Antonella Cromi, Cromi A, Gianlorenzo Dionigi, G Dionigi, Dionigi G, Rovera F, F. Rovera, Renzo Dionigi, Dionigi R, R Dionigi, F Ghezzi, Fabio Ghezzi
Surgical oncology · 2007 · vol. 16 , pp. 157–160 · doi:10.1016/j.suronc.2007.10.003 · PMID:18024017 · W1992429687
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This paper examines the feasibility and outcomes of laparoscopic colorectal resections using transvaginal specimen extraction in patients with severe endometriosis.

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Abstract

IntroductionBowel resection is now considered the "gold standard" treatment for severe endometriosis infiltrating the bowel. Laparoscopic colorectal resection can be considered a safe option in order to reduce surgical trauma and complications as well as to improve cosmetics. Transvaginal approach, used for several years to remove large specimens, can be an interesting approach also in case of colorectal resections.Aim of the studyTo present our experience on laparoscopic colorectal resection and transvaginal specimen extraction as treatment of severe endometriosis.ResultsEleven patients (mean age 45+/-12 years) have been operated by a combined team of gynecologist and colorectal surgeons. There were no intra- or post-operative complications. In all cases, the transvaginal route was used to remove the specimen and prepare the bowel for anastomosis. Patients were allowed to free light diet on post-operative day 3+/-1 and discharged on day 5+/-2. The mean follow-up was 4+/-2 months and all patients are well with normal bowel function and symptoms free.ConclusionsOur preliminary experience demonstrates such approach is safe and feasible with excellent results in term of post-operative course.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Rectal Diseases Uterine Diseases Vagina Anastomosis, Surgical Digestive System Surgical Procedures Digestive System Surgical Procedures Endometriosis Female Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Middle Aged Rectal Diseases Uterine Diseases Vagina

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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.

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