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Surgical laparoscopic treatment of bowel endometriosis with transvaginal resection of the rectum using ultrasonically activated shears: a retrospective cohort study with description of technique

  • General Gynecology
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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Background

To asses the results of laparoscopic surgical treatment of bowel endometriosis with transvaginal resection of the rectum employing ultrasonic energy retrospective study.

Method

100 patients with symptoms of narrowing or partial obstruction of colon were submitted to laparoscopic resection of rectosigmoid tract through a vaginal route. Length of surgery, blood loss, histopathological extent of rectal invasion, surgical complications, and length of hospital stay were the main analyzed outcomes.

Results

Mean operative time was 281 min, blood loss was 250 ml on average, length of stay was 8 days, bowel movements were after 3.5 days, the mean length of bowel-resected segments was 13.3 cm, the disease was multifocal in 64% and multicentric in 36% of surgical specimens.

Conclusion

Laparoscopically assisted vaginal resection of rectosigmoid colon affected by endometriosis using ultrasonically activated shears with mechanical intestinal anastomoses tension free is a safe and effective procedure for surgical management of severe pelvic endometriosis with bowel involvement.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University of Brescia, Spedali Civili of Brescia, P.le Spedali Civili n° 1, 25127, Brescia, Italy

    F. Rampinelli, P. Donarini, C. Visenzi, S. Ficarelli & G. Ciravolo

Authors
  1. F. Rampinelli
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  2. P. Donarini
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  3. C. Visenzi
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  4. S. Ficarelli
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  5. G. Ciravolo
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Contributions

FR: Project development, Data Collection, Methods, Manuscript writing. PD: Methods, Manuscript editing, Data analysis. CV: Manuscript editing. SF: Manuscript editing. GC: Project development, Data Collection, Methods.

Corresponding author

Correspondence to P. Donarini.

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Nothing to disclose about potential conflicts of interest.

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No informed consent needed for this study.

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This article does not contain any studies with human participants or animals performed by any of the authors (only observational).

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Rampinelli, F., Donarini, P., Visenzi, C. et al. Surgical laparoscopic treatment of bowel endometriosis with transvaginal resection of the rectum using ultrasonically activated shears: a retrospective cohort study with description of technique. Arch Gynecol Obstet 297, 985–988 (2018). https://doi.org/10.1007/s00404-018-4692-x

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  • DOI: https://doi.org/10.1007/s00404-018-4692-x

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