Combination of laparoscopic side-to-end colorectal anastomosis and vaginal nose (natural orifice specimen extraction) surgery for colorectal endometriosis: Technique and outcomes

Ahmet Kale, Betül Kuru, Kürşad Nuri Baydili, Deniz Cokay, Gülfem Başol, Elif Cansu Gündoğdu, Emre Mat, İsmail Ertuğrul, Yunus Emre Altuntaş, Taner Usta, Yasmin Aboalhasan, Engin Oral
In: Journal of Endometriosis and Pelvic Pain Disorders · 2022 · vol. 14(3) , pp. 149–157 · doi:10.1177/22840265221095772 · W4283748559
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study evaluated laparoscopic side-to-end colorectal anastomosis with vaginal natural orifice specimen extraction surgery in 11 patients, finding improvements in pain and health survey scores at six months post-operation.

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Abstract

Objective: To investigate the effectiveness of combining side-to-end anastomosis and vaginal NOSE (Natural orifice specimen extraction) surgery in colorectal endometriosis. Material and methods: We included 11 patients treated with laparoscopic side-to-end colorectal anastomosis and vaginal NOSE surgery between January 2019 and May 2021. We questioned the visual analog score (VAS) for pain symptoms, the short form-36 (SF-36) for health survey questionnaire, The Female Sexual Function Index (FSFI), EHP-5 for endometriosis health profile, The Hospital Anxiety and Depression Scale (HADS), OAB-V8 for overactive bladder symptoms and Constipation Severity Instrument (CSI). Results: VAS, EHP-5, and SF-36 scores were better at postoperative third and sixth months than preoperative values ( p < 0.05). There were no statistically significant differences in terms of FSFI, OAB-V8, HADS, and the CSI. Conclusions: Laparoscopic side-to-end anastomosis with vaginal NOSE surgery is feasible, scarless, and could be offered to patients with deep symptomatic bowel endometriosis.

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Outcome instruments

EHP-30 VAS-pain

Condition tags

endometriosisbowel_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 (20)

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