Rectal shaving using PlasmaJet in deep endometriosis of the rectum.
OBJECTIVE
To report an original technique of rectal shaving using the PlasmaJet system (Plasma Surgical, Inc.) for the management of deep endometriosis of the rectum.


METHODS
Video demonstration of a new surgical technique.


METHODS
Hospital.


METHODS
A 34 year-old primipara with a deep endometriosis involving the vagina and the mid-rectum over 30 mm.


METHODS
An original technique of rectal shaving.


METHODS
The procedure is based on the specific properties of PlasmaJet: the lack of lateral thermal spread around the jet of plasma making the dissection on contact of rectal wall safe, the precise ablative property allowing for in situ ablation of rectal endometriosis implants, and the kinetic energy enhancing the dissection of subperitoneal spaces. The steps of the technique and the role of PlasmaJet are emphasized. The surgical technique report using anonymous patients is exempt from ethical approval by the IRB.


RESULTS
The patient's outcome was uneventful, and colorectal complaints were completely relieved one week after surgery. Since November 2012, we have employed this technique in 18 patients, with only favorable outcomes.


CONCLUSIONS
The technique described in this video article may represent a step toward a more complete removal of endometriotic implants and better colorectal outcomes.
Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France. Electronic address: horace.roman@gmail.com.
Horace
H
Roman
D055011:Ablation Techniques / Q000295:instrumentation*; D000328:Adult; D013505:Digestive System Surgical Procedures / Q000295:instrumentation*; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D006801:Humans; D012002:Rectal Diseases / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome
Deep endometriosis; PlasmaJet; plasma energy; rectal endometriosis; rectal shaving