title: Disc resection is the first option in the management of rectal endometriosis for unifocal lesions with less than 3 centimeters of longitudinal diameter.
abstract: Rectosigmoid endometriosis is one of the most advanced forms of the disease affecting 3% to 37% of patients with endometriosis. Some patients are asymptomatic but others can develop severe symptoms such as abdominal and pelvic pain, diarrhea, constipation, and rectal bleeding. Transvaginal ultrasonography (USG-TV) with bowel preparation is the first-line investigation in patients with suspected bowel endometriosis and allows accurate determination of the presence of the disease. When endometriosis of rectosigmoid is diagnosed, the USG-TV helps the surgical team to define the appropriate therapeutic strategy, be it surgical or conservative. The surgical management of rectosigmoid endometriosis includes disc resection or segmental bowel resection. In recent years, disc resection has gained adherents; this approach allows the resection of macroscopic disease with fewer complications than segmental bowel resection. However, disc resection is only indicated when a lesion is unifocal, the size does not exceed 3 cm, and it does not involve more than 50% to 60% of circumference of the rectum or sigmoid wall. This article describes the laparoscopic disc resection surgical technique for intestinal deep endometriosis, its feasibility, and its current status.
authors: Department of Obstetrics and Gynecology Centro Hospitalar Tâmega e Sousa Penafiel-Porto, Portugal.
authors: Amélia
authors: A
authors: de Almeida
authors: Sirio Libanes Hospital São Paulo, Brazil.
authors: Luiz F
authors: LF
authors: Fernandes
authors: Sirio Libanes Hospital São Paulo, Brazil.
authors: Marcelo
authors: M
authors: Averbach
authors: Obstetrics and Gynecology Department Sao Paulo University Sao Paulo, Brazil.
authors: Mauricio S
authors: MS
authors: Abrão
mesh_terms: D003106:Colon / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004715:Endometriosis / Q000473:pathology* / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D012002:Rectal Diseases / Q000473:pathology* / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000379:methods*