Excision of the posterior vaginal fornix is necessary to ensure complete resection of rectovaginal endometriotic nodules of more than 2 cm in size.
The minimum distance between the vaginal mucosal epithelium and the endometriotic glands was <1,000 microm in 30 patients (49.2%), <2,000 microm in 44 patients (72.1%), and <5,000 microm in 60 patients (98.4%). Our findings provided histologic evidence that excision of the posterior vaginal fornix was necessary to completely remove large rectovaginal endometriotic nodules.
Matsuzaki
Sachiko
S
CHU Clermont-Ferrand, Polyclinique-Hôtel-Dieu, Gynécologie Obstétriqueet Médecine de la Reproduction, Clermont-Ferrand, France. sachikoma@aol.com
Houlle
Céline
C
Botchorishvili
Revaz
R
Pouly
Jean-Luc
JL
Mage
Gérard
G
Canis
Michel
M
D000328:Adult; D018450:Disease Progression; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D004848:Epithelium / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D055502:Secondary Prevention; D014621:Vagina / Q000601:surgery*