These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: A new laparoscopic-transvaginal technique for rectosigmoid resection in patients with endometriosis.
    Author: Ghezzi F, Cromi A, Ciravolo G, Rampinelli F, Braga M, Boni L.
    Journal: Fertil Steril; 2008 Nov; 90(5):1964-8. PubMed ID: 18163992.
    Abstract:
    OBJECTIVE: To present our experience with a new technique for laparoscopic rectosigmoid resection in patients with endometriosis. DESIGN: Prospective collaborative cohort study. SETTING: Gynecologic departments of two university hospitals. PATIENT(S): Thirty-three women with rectosigmoid endometriotic lesions requiring segmental bowel resection. INTERVENTION(S): Laparoscopic intracorporeal division of the distal bowel and exteriorization of the affected segment via a colpotomy incision to complete the resection. MAIN OUTCOME MEASURE(S): Intraoperative and postoperative complications, and relief from symptoms. RESULT(S): The only intraoperative complication was bleeding from the inferior mesenteric artery that required conversion to laparotomy to obtain hemostasis. No patient required a temporary colostomy. No anastomotic complications were identified. Postoperative complications included a symptomatic pelvic seroma that required operative drainage in 1 patient and urinary retention that required intermittent self-catheterization in 3 women. The median follow-up duration was 13 months (range, 3-27 mo). Twenty-seven women were symptom free at the time of last follow-up evaluation. No patient had recurrent cyclic rectal bleeding, rectal pain on defecation, or tenesmus. Postoperatively, 4 of 13 patients who tried to conceive were successful. CONCLUSION(S): Segmental colorectal resection with a combined laparoscopic-transvaginal approach, avoiding the extension of port-site incisions, represents a viable option for the treatment of bowel endometriosis.
    [Abstract] [Full Text] [Related] [New Search]