Comparison Between Standard and Reverse Laparoscopic Techniques for Rectovaginal Endometriosis

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2011 Mar 23

PMID 21424199

Citations 8

Authors

William Kondo

Nicolas Bourdel

Kris Jardon

Stefano Tamburro

Daniele Cavoli

Sachiko Matsuzaki

Revaz Botchorishvili

Benoit Rabischong

Jean L Pouly

Gerard Mage

Michel Canis

Affiliations

Soon will be listed here.

Abstract

Background: This study was designed to compare the surgical outcomes of standard and reverse laparoscopic techniques for the treatment of rectovaginal endometriosis.

Methods: A retrospective study was conducted in a teaching and research hospital (tertiary center), which included 75 women subjected to laparoscopic treatment of rectovaginal endometriosis that required both vaginal resection and rectal surgery. Standard and reverse laparoscopic techniques were compared in 35 and 40 women, respectively. Student's t test, Mann-Whitney test, and Fisher's exact test were performed to compare groups when needed; p < 0.05 was considered statistically significant.

Results: There was no statistically significant difference in operating time, blood loss, conversion rate, major intraoperative complications, length of hospital stay, and minor postoperative complications between the two techniques. The rate of major postoperative complications for the standard technique was 22.9%, whereas only 5% for the reverse technique (p = 0.02). The rate of postoperative rectovaginal fistula was the same for both techniques.

Conclusions: Major postoperative complications were reduced by using the reverse technique.

Citing Articles

Recommendations for the surgical treatment of endometriosis Part 2: deep endometriosis †‡¶.

Facts Views Vis Obgyn. 2020; 11(4):269-297.

PMID: 32322824 PMC: 7162667.

Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis.

Keckstein J, Becker C, Canis M, Feki A, Grimbizis G, Hummelshoj L Hum Reprod Open. 2020; 2020(1):hoaa002.

PMID: 32064361 PMC: 7013143. DOI: 10.1093/hropen/hoaa002.

The benefit of adenomyomectomy on fertility outcomes in women with rectovaginal endometriosis with coexisting adenomyosis.

Kishi Y, Yabuta M Gynecol Minim Invasive Ther. 2018; 6(1):20-24.

PMID: 30254864 PMC: 6113964. DOI: 10.1016/j.gmit.2016.08.002.

Rectovaginal fistula following surgery for deep infiltrating endometriosis: Does lesion size matter?.

Zheng Y, Zhang N, Lu W, Zhang L, Gu S, Zhang Y J Int Med Res. 2017; 46(2):852-864.

PMID: 29132241 PMC: 5971512. DOI: 10.1177/0300060517728208.

Full-Thickness Excision versus Shaving by Laparoscopy for Intestinal Deep Infiltrating Endometriosis: Rationale and Potential Treatment Options.

Lagana A, Vitale S, Trovato M, Palmara V, Rapisarda A, Granese R Biomed Res Int. 2016; 2016:3617179.

PMID: 27579309 PMC: 4989089. DOI: 10.1155/2016/3617179.

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