Shaving for bowel endometriosis

Publication date: Available online 26 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Dr Danny Chou, Dr Shevy Perera, Assoc Prof George Condous, Assoc Prof Greg Cario, Dr David Rosen, Dr Sarah Choi, Dr Mansour Al-Shamari, Dr Mujahid BukhariObjectiveTo demonstrate laparoscopic shaving of deeply infiltrative endometriosis affecting rectosigmoid colon with particular emphasis on the anatomical and technical aspects of the procedure.DesignStepwise demonstration of the technique with narrated video footage.SettingIntestinal involvement by deep endometriosis is estimated to occur in 8-12%, with 90% being located in the colorectal segment. Deep endometriosis of rectosigmoid is defined as involving the muscular layer of the bowel wall, usually>5mm deep, thus excluding superficial lesions that only affect the serosa layer. In cases where medical therapy is unsatisfactory, rectosigmoid deep endometriosis can be surgically managed by 3 recognized surgical techniques: 1) rectal shaving, 2) disc excision and 3) segmental resection. There are helpful recommendations for different approaches based on characteristics of the lesion including the size, length, depth of invasion, circumference of the rectum involved, number of lesions amongst other factors [1]. Rectal shaving is well suited for smaller lesion, typically 
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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AbstractPurposeThis is a retrospective cohort study that evaluates the postoperative pain findings of a consecutive series of laparoscopic surgeries for deep endometriosis (DE).MethodsThis multi-center retrospective cohort study was carried out in university hospitals (Istanbul, Turkey). Sixty-five patients diagnosed through bimanual gynecologic examination, gynecologic ultrasound or magnetic resonance imaging-confirmed endometrioma and DE together; who underwent a laparoscopic surgery between 2013 and 2019 by a team of gynecologists, colorectal surgeons, and a urologist were retrospectively evaluated. The data were collec...
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
To show the surgical steps used to perform rectal disc excision in a context of deep infiltrating endometriosis characterized by contiguity between intestinal lesion and retrocervical region.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Video Article Source Type: research
Condition:   Endometriosis Intervention:   Device: PlasmaJet Sponsor:   University Hospital, Ghent Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionsThe few differences observed did not seem to be clinically relevant, making the 2 procedures comparable in terms of the ability to visually detect endometriotic lesions. Further prospective trials are needed to confirm our results.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Authors: Chmaj-Wierzchowska K, Rzymski P, Wojciechowska M, Parda I, Wilczak M Abstract Introduction: Endometriosis is a chronic disease that involves the development of endometrium outside the uterine cavity with pain component predominance. The aim of the study was to discuss the occurrence of health problems in patients with endometriomas and simple cysts and the effect of these problems on the daily functioning of the patients. Material and methods: The study included patients (n = 40) treated laparoscopically and/or by laparotomy due to lesions in the form of endometriomas or simple cysts. The control group...
Source: Archives of Medical Science - Category: Biomedical Science Tags: Arch Med Sci Source Type: research
Publication date: Available online 13 May 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Sukainah Alfaraj, Heather Noga, Catherine Allaire, Christina Williams, Sarka Lisonkova, Paul J. Yong, Mohamed A. Bedaiwy
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
A short review of the uncomfortable scenario of a negative laparoscopy when expecting endometriosis, adhesive disease or other pathology. The article reviews different commonly used but rarely documented strategies for ameliorating pelvic pain in the absence of clear pathology.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Source Type: research
CONCLUSIONS: There are limited data on the effectiveness and safety of in-bag morcellation at the time of laparoscopic myomectomy compared to uncontained power morcellation. We were unable to determine the effects of in-bag morcellation on intraoperative complications as no events were reported in either group. We are uncertain if in-bag morcellation improves total operative time or ease of morcellation compared to control. Regarding morcellation operative time, the quality of the evidence was also very low and we cannot be certain of the effect of in-bag morcellation compared to uncontained morcellation. No cases of posto...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
To investigate the influence factors of laparoscopic postoperative pregnancy of patients with endometriosis and infertility, further validate the application of EFI scoring system in endometriosis, and to improve the pregnancy rate. A total of 258 patients with endometriosis and infertility who underwent laparoscopic surgery and follow-up treatment at Wuxi Maternal and Child Health Hospital from January 2015 to December 2016 were selected and divided into pregnant and non-pregnant groups according to whether they were pregnant. All patients were divided into 4 groups according to EFI score: group with EFI score ≥9, 7&n...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
ABSTRACTTurco et al commented on our recently published article "Visualization of endometriosis with laparoscopy and near ‐infrared optics with indocyanine green". We thank for their interest in our study and will take the opportunity to respond to their comments. To our opinion some of these seem to be lacking essential information. Based on our experience, we are convinced that the future of ICG in endometriosis is in fluorescence‐guided surgery for deep infiltrating nodules and not in its diagnostic potential.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: LETTER TO EDITOR Source Type: research
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