Abstract
Laparoscopic excision of full thickness rectal endometriosis using a discoid resection can avoid the need for a bowel resection. This may help avoid some of the morbidity and prolonged hospitalization that can be associated with larger bowel surgery. Patients with a single anterior nodule that is less than 3 cm and do not involve more than half of the circumference of the bowel are good candidates for this surgical approach. The maximum amount of unaffected bowel can be spared, while still obtaining disease free surgical margins, by gently squeezing the nodule and bouncing off. This technique shows the surgeon where to make the proper incision and allows for a primary two-layer closure rather than a bowel resection.
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Lee, T., Rindos, N. (2020). Laparoscopic Discoid Rectal Endometriosis Resection: The Squeeze Technique. In: Ferrero, S., Ceccaroni, M. (eds) Clinical Management of Bowel Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-030-50446-5_10
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DOI: https://doi.org/10.1007/978-3-030-50446-5_10
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