Laparoscopic Reverse Technique For Posterior Rectovaginal Deep Endometriosis Nodule Step by Step.

ConclusionLaparoscopic reverse technique is an alternative approach to face retrocervical or rectovaginal nodules infiltrating the anterior rectal wall.  In this technique, the separation of the nodule from the rectal wall is performed at the end of the surgery and not at the beginning as performed within the traditional technique. This enables the surgeon to perform a more precise dissection of the endometriotic nodule from the rectal wall because of the increased mobility of the bowel. The wider range of movements serves as an ergonomic advantage for the subsequent dissection of the lesion from the rectum, allowing the surgeon to decide the best technique to apply for the treatment of the bowel disease, either rectal shaving, discoid or segmental resection.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research