Bowel resection for intestinal endometriosis

Simone Ferrero, Cesare Stabilini, Fabio Barra, Roberto Clarizia, Giovanni Roviglione, Marcello Ceccaroni
Best Practice & Research. Clinical Obstetrics & Gynaecology 2020 June 9
Over the last twenty years, segmental resection (SR) has been the technique most frequently used to treat bowel endometriosis. Nowadays, it is most commonly performed by laparoscopy; however, there is evidence that it can be safely performed by robotic-assisted laparoscopic surgery. Rectovaginal fistula and anastomotic leakage are the two major complications of SR; other complications include pelvic abscess, postoperative bleeding, ureteral damage, and anastomotic stricture. Several studies showed that SR causes improvement in pain and intestinal symptoms; nerve-sparing SR may improve the functional outcomes. The rates of postoperative recurrence of bowel endometriosis vary across the studies, possibly because of the different definitions of recurrence.

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