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Laparoscopic rectovaginal resection for endometriosis: transvaginal specimen extraction and anastomosis

J Leroy, MD, FRCS CY Akladios, MD V Thoma, MD A Wattiez, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Nov 2012;12(11). URL: http://websurg.com/doi/vd01en3811

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  • 2012-11-09
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The authors demonstrate a rectovaginal resection technique for invasive endometriosis. The original nature of this approach hinges on the mesorectum dissection technique in contact with the rectal wall in order to preserve rectal vascularization and innervation. Additionally, rectal exteriorization through the vagina to prepare for the colorectal anastomosis using a mechanical circular stapling without any abdominal incision is truly original as it contributes to limiting parietal trauma and improving cosmesis. The film truly focuses on the digestive approach just after anterior pelvic dissection has been completed by the team of gynecologic surgeons.