Laparoscopic excision of rectovaginal endometriosis: report of a prospective study and review of the literature

Maytham, Gary D.; Dowson, H. M.; Levy, Bruce; Kent, Andrew; Rockall, Timothy

doi:10.1111/j.1463-1318.2009.01993.x

Cited by 50 publications

(50 citation statements)

References 35 publications

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“…This was also demonstrated in the study of Maytham et al [6] in operations for colorectal endometriosis, which showed a much greater difference with a median age of 33 years in the endometriosis group and 72 years in the control group. However, the lower age of patients compared to controls in our material probably would not influence the result because both groups were mostly premenopausal women.…”

Section: Stage Of Endometriosis (N = 200)supporting

confidence: 61%

“…Maytham and co-workers [6] also presented median post-operative hospital stay of three days. Both groups were given sick leave for 3-4 weeks on average, indicating a similar postoperative recovery.…”

Section: Stage Of Endometriosis (N = 200)mentioning

confidence: 91%

“…Repeated surgery is common [3], often alternated with hormonal treatment. Previous investigations concerning the results of surgery have focused on certain manifestations such as ovarian, peritoneal or deep infiltrating endometriosis, laparoscopic operations or results obtained by a single surgeon [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endometriosis does not Increase Risk of Surgical Complications. A Comparative Study

Moen¹

2014

SOJS

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Section: Stage Of Endometriosis (N = 200)supporting

confidence: 61%

Section: Stage Of Endometriosis (N = 200)mentioning

confidence: 91%

See 1 more Smart Citation

Endometriosis does not Increase Risk of Surgical Complications. A Comparative Study

Moen¹

2014

SOJS

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“…In some of the studies, a radical treatment was assessed [5,13,15,[25][26][27][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56], while others assessed a conservative one [57][58][59][60][61][62][63]. There were six nonrandomized papers in which groups of patients with different therapeutic options were compared [30,[35][36][37][38][39]. The follow-up time was not uniform within studies, neither were the criteria used to establish the diagnosis, the extent of the RVE, or the result variables.…”

Section: Resultsmentioning

confidence: 99%

“…All of them are observational studies in which the treatment option was not decided randomly; rather, it was made in terms of clinical criteria or in consensus with the patients [30,[35][36][37][38][39].…”

Section: Comparative Studiesmentioning

confidence: 99%

Surgical treatment of rectovaginal endometriosis with rectal involvement

et al. 2011

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Rectovaginal endometriosis (RVE) is one of the most serious and incapacitating forms of presentation of this disease. Traditionally, medical treatment has not been considered effective for the majority of patients, being surgery the only reasonable and therapeutic choice in these cases. This exposes patients to a potentially serious morbidity, thus a careful evaluation should be done by a surgical board considering the impact of the disease as well as the quality of life of the patients. The main surgical techniques used are the shaving of the rectal wall affected by the endometriosic implants, the discoid excision of the front rectal wall, and the segmental intestinal resection, and there is no consensus concerning which is the most effective and suitable between them. The bibliography published in the last 10 years relating to the surgical treatment of RVE is being reviewed with the intention of updating the knowledge base about the topic and looking for common ground between different studies, allowing us to come closer to reaching a consensus about treatment for this pathology.

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Rectovaginal endometriosis with nodular smooth muscle metaplasia diagnosed via transrectal ultrasound‐guided fine‐needle aspiration cytology: An underused minimally invasive diagnostic technique?

Molina

Moreno

Singh

et al. 2023

Diagnostic Cytopathology

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Rectovaginal endometriosis is a severe variant of deeply infiltrating endometriosis. Laparoscopic assessment with tissue sampling remains the gold standard for diagnosis of endometriosis. However, transvaginal (TVUS) and transrectal ultrasound (TRUS) have been shown to be especially helpful in the diagnosis of deep endometriosis. We present the case of a 49‐year‐old female with menorrhagia, dysmenorrhea, and constipation. Upon pelvic examination, an incidental mass was palpated. A computed tomography (CT) scan revealed an anterior rectal wall mass and colonoscopy was non‐diagnostic. Further work‐up with MRI showed a 3.9 cm mass centered within the upper rectovaginal septum. TRUS guided fine‐needle aspiration (TRUS‐FNA) revealed cohesive epithelial cell groups without significant cytologic atypia and a second population of bland spindle cells. Cell block slides showed glandular epithelium with associated stroma that exhibited endometrial morphology and immunophenotype. Nodular fragments of spindle cells with smooth muscle immunophenotype and fibrosis were also present. The overall morphologic findings were consistent with rectovaginal endometriosis with nodular smooth muscle metaplasia. Medical management with nonsteroidal aromatase inhibitor with radiologic follow‐up was selected. Rectovaginal endometriosis represents a type of deep endometriosis usually associated with severe pelvic symptoms. Metaplastic smooth muscle cells are a frequent component of endometriosis in the rectovaginal pouch with nodular growth and may present diagnostic challenges. TRUS‐FNA is a minimally invasive procedure that can provide an accurate diagnosis of endometriosis, even in this variant of deep infiltrating disease.

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Laparoscopic excision of rectovaginal endometriosis: report of a prospective study and review of the literature

Abstract: Laparoscopic resection of rectovaginal endometriosis may be associated with a higher incidence of complications than resections performed for other diagnoses.

Cited by 50 publications

References 35 publications

Endometriosis does not Increase Risk of Surgical Complications. A Comparative Study

Endometriosis does not Increase Risk of Surgical Complications. A Comparative Study

Surgical treatment of rectovaginal endometriosis with rectal involvement

Rectovaginal endometriosis with nodular smooth muscle metaplasia diagnosed via transrectal ultrasound‐guided fine‐needle aspiration cytology: An underused minimally invasive diagnostic technique?

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