No abstract

No abstract

Surgical outcome and long-term follow up after laparoscopic rectosigmoid resection Sir, We were pleased to read the manuscript by Seracchioli et al. as we agree that adequate treatment of rectovaginal endometriosis is important. Symptoms can be reduced and significant improvements in the women's quality of life achieved. 1 We agree with the authors that rectovaginal disease is often resistant to traditional medical treatment and that appropriate surgical treatment can be very effective. We consider that, as shown in the series of Seracchioli et al., in expert hands, complications are relatively few and the benefits outweigh the risks. However, anastomotic dehiscence, abscess formation, stricture at the anastomotic site, rectal dysfunction and rectovaginal fistula have been reported. 2 These are rare but serious.To obtain fully informed consent, it is important to explain all the surgical treatments available. We were surprised that Dr Seracchioli's paper only included women treated with bowel resection and not patients with rectal shavings or disc resection. These treatments options have also been found to be highly efficacious but with a lower risk of side-effects. 3 We wonder if Dr Seracchioli's team considered any of these less morbid options for their patients? j

No abstract

No abstract