We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

Radical excision or bowel resection for deep endometriosis

Epublication WebSurg.com, Apr 2012;12(04). URL: http://websurg.com/doi/lt03enkoninckx002

Ask a question to the author

You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
  • 1341
  • 7
  • 2012-04-17
Share it
In this key lecture, the author focuses on bowel endometriosis. This disease is often multifocal and there are 8% of resection margins which are not free despite segmental resection. Although bowel resection is widely performed, indications are poorly documented regarding nodule size or localization. Segmental resection at the level of the rectum is associated with bowel, bladder, and sexual complications as found in other conditions (such as cancer). The author insists on the need to first perform a discoid resection except if the size of the lesion takes up more than 50% of the wall area and exceeds 2-3cm. For this procedure, it is recommended that the operation be carried out by pelvic surgeons with perfect expertise in endometriosis.