title: Comparison between standard and reverse laparoscopic techniques for rectovaginal endometriosis.
abstract: BACKGROUND
  This study was designed to compare the surgical outcomes of standard and reverse laparoscopic techniques for the treatment of rectovaginal endometriosis.
  
  
  METHODS
  A retrospective study was conducted in a teaching and research hospital (tertiary center), which included 75 women subjected to laparoscopic treatment of rectovaginal endometriosis that required both vaginal resection and rectal surgery. Standard and reverse laparoscopic techniques were compared in 35 and 40 women, respectively. Student's t test, Mann-Whitney test, and Fisher's exact test were performed to compare groups when needed; p < 0.05 was considered statistically significant.
  
  
  RESULTS
  There was no statistically significant difference in operating time, blood loss, conversion rate, major intraoperative complications, length of hospital stay, and minor postoperative complications between the two techniques. The rate of major postoperative complications for the standard technique was 22.9%, whereas only 5% for the reverse technique (p = 0.02). The rate of postoperative rectovaginal fistula was the same for both techniques.
  
  
  CONCLUSIONS
  Major postoperative complications were reduced by using the reverse technique.
authors.affiliation: Department of Gynecologic Surgery, CHU Estaing, Clermont-Ferrand, France. williamkondo@yahoo.com
authors.forename: William
authors.initials: W
authors.lastname: Kondo
authors.forename: Nicolas
authors.initials: N
authors.lastname: Bourdel
authors.forename: Kris
authors.initials: K
authors.lastname: Jardon
authors.forename: Stefano
authors.initials: S
authors.lastname: Tamburro
authors.forename: Daniele
authors.initials: D
authors.lastname: Cavoli
authors.forename: Sachiko
authors.initials: S
authors.lastname: Matsuzaki
authors.forename: Revaz
authors.initials: R
authors.lastname: Botchorishvili
authors.forename: Benoit
authors.initials: B
authors.lastname: Rabischong
authors.forename: Jean L
authors.initials: JL
authors.lastname: Pouly
authors.forename: Gérard
authors.initials: G
authors.lastname: Mage
authors.forename: Michel
authors.initials: M
authors.lastname: Canis
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012002:Rectal Diseases / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D014623:Vaginal Diseases / Q000150:complications / Q000601:surgery*