Bowel Endometriosis Management by Colorectal Resection: Laparoscopic Surgical Technique & Outcome

JSLS. 2023 Jan-Mar;27(1):e2022.00075. doi: 10.4293/JSLS.2022.00075.

Abstract

Background and objectives: Bowel deep infiltrating endometriosis (DIE) management by colorectal resection is a complex procedure. The purpose of the present study is to delineate a meticulous approach to the assessment of the patient, step-wise surgical technique, pre, and postoperative care, and its short-term and long-term outcomes.

Methods: This is a single-center retrospective study done on patients of bowel DIE managed by colorectal resection between January 1, 2019 to June 30, 2021.

Results: There was a significant improvement in the symptomatology of patients post-surgery. Our surgical technique is feasible with acceptable short-term and long-term outcomes.

Conclusion: Bowel DIE management can be proficiently executed with a proper diagnostic approach, appropriate surgical expertise with exhaustive pelvic anatomy knowledge especially concerning autonomic nerve plexus.

Keywords: Assessment of patients; Bowel deep infiltrating endometriosis; Colorectal resection; Surgical technique.

MeSH terms

  • Colorectal Neoplasms* / surgery
  • Endometriosis* / surgery
  • Female
  • Humans
  • Laparoscopy* / methods
  • Postoperative Complications / surgery
  • Rectal Diseases* / surgery
  • Retrospective Studies
  • Treatment Outcome