Deep endometriosis: The place of laparoscopic shaving

Donnez O, Olivier Donnez, Donnez J, Jacques Donnez
Best practice & research. Clinical obstetrics & gynaecology · 2020 · vol. 71 , pp. 100–113 · doi:10.1016/j.bpobgyn.2020.05.006 · PMID:32653335 · W3032985551
review OA: closed CC0 ⤵ 21 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This paper discusses the role of laparoscopic shaving in the surgical treatment of deep endometriosis.

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Abstract

Deep endometriosis (DE) is considered to be one of the most challenging conditions to manage, especially when it invades surrounding organs like the rectum. Surgical excision of deep rectovaginal endometriosis is required when lesions are symptomatic, impairing bowel, urinary, sexual, and reproductive functions, or if they evolve. Preoperative radiological examination should be extensive to determine the appropriate surgery: laparoscopic shaving, disc excision, or rectal resection. We demonstrated that in the hands of experienced surgeons, rectal shaving is possible for DE in more than 95% of cases, with low complication rates compared to rectal resection. Shaving and bowel resection are associated with comparable recurrence rates. As shaving is indicated whatever the size of deep lesions, surgeons should first consider rectal shaving to remove DE. Bowel resection should only be performed in case of major rectal stenosis (>80%), multiple and/or posterior rectal lesions and stenotic sigmoid colon lesions.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Laparoscopy Rectal Diseases Rectal Diseases Rectal Diseases Female Humans Postoperative Complications Postoperative Complications Rectum Rectum Rectum Treatment Outcome

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 (100)

Cited by (21)

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europepmc
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License: CC0 · commercial use OK