Treatment of rectosigmoid endometriosis by laparoscopically assisted vaginal rectosigmoidectomy

Maurício Simões Abrão, M S Abrao, Univaldo Etsuo Sagae, U E Sagae, Midgley Gonzales, M Gonzales, Sérgio Podgaec, S Podgaec, João Dias, J A Dias
International Journal of Gynecology & Obstetrics · 2005 · vol. 91(1) , pp. 27–31 · doi:10.1016/j.ijgo.2005.06.014 · PMID:16051243 · W2081893206
article OA: closed CC0 ⤵ 25 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This pilot study evaluated laparoscopically assisted vaginal rectosigmoidectomy using mechanical anastomoses for endometriosis, finding it a feasible procedure with good symptom remission and low morbidity.

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Abstract

OBJECTIVE: To describe the use of mechanical anastomoses in cases of laparoscopically assisted vaginal rectosigmoidectomy for the treatment of rectosigmoid endometriosis. METHODS: Pilot study evaluating eight patients with rectosigmoid endometriosis referred for surgical treatment. All patients were submitted to laparoscopically assisted vaginal segmental resection of the rectosigmoid with anastomoses performed using linear and circular staplers. RESULTS: The average length of the surgical procedure was 177.5 min and average duration of hospitalization was 4.13 days. There were no intra-operative complications and integrity of the anastomoses was confirmed in all patients. One patient reported partial improvement of symptoms and 7 patients presented complete clinical remission 12 months following surgery. CONCLUSION: Laparoscopically assisted vaginal segmental resection of the sigmoid infiltrated by endometriosis is a feasible surgical procedure. The technique combines transvaginal access with mechanical intestinal anastomoses performed using linear and circular staplers, and achieves good results with low morbidity.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Diseases Adult Anastomosis, Surgical Endometriosis Female Humans Intestinal Diseases Laparoscopy Pilot Projects Rectal Diseases Rectal Diseases Sigmoid Diseases Sigmoid Diseases Surgical Stapling

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 (26)

Cited by (25)

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