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Management of a severe bleeding during laparoscopy for recurrent rectovaginal endometriosis

Epublication WebSurg.com, Sep 2014;14(09). URL: http://websurg.com/doi/vd01en4234

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  • 2014-09-11
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This case demonstrates the potential danger of a repetitive surgery after an incomplete resection of rectovaginal endometriosis. A severe bleeding occurred during the dissection of the recurrent nodule. It was managed through multiple coagulations, which could only be performed safely and effectively because important landmarks had been identified and retracted prior to resecting the nodule. A key point in the surgery was also circumventing the nodule in order to pass in sano as the bleeding came from vessels entrapped in fibrosis and scarring tissue which could not be effectively coagulated.