title: Intraoperative sigmoidoscopy in gynecologic surgery.
abstract: Intraoperative sigmoidoscopy is underused by the majority of practicing gynecologists and is not widely taught in obstetrics and gynecology training programs. In this report, a step-by-step approach is provided in order to perform sigmoidoscopy. Indications for use, along with various intraoperative applications, are discussed. Results from our center's experience with its use during laparoscopic treatment of adhesions, endometriosis, and associated disease of the bowel also are provided. Intraoperative sigmoidoscopy is a safe and efficacious procedure that can aid in the evaluation and treatment of pelvic pathology and facilitate identification and management of bowel injuries. It should be considered a valuable adjunct when such cases are encountered by gynecologic and pelvic surgeons.
authors.affiliation: Atlanta Center for Special Pelvic Surgery, Atlanta, Georgia 30342, USA. info@nezhat.com
authors.forename: Ceana
authors.initials: C
authors.lastname: Nezhat
authors.forename: Andrew
authors.initials: A
authors.lastname: de Fazio
authors.forename: Tom
authors.initials: T
authors.lastname: Nicholson
authors.forename: Camran
authors.initials: C
authors.lastname: Nezhat
mesh_terms: D004715:Endometriosis / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007430:Intraoperative Care / Q000379:methods* / Q000592:standards; D007431:Intraoperative Complications; D012812:Sigmoidoscopy / Q000379:methods* / Q000592:standards