title: [Transvaginal specimen extraction after laparoscopic bowel resection in deeply infiltrating endometriosis].
abstract: The authors report a case of a 27-year-old patient who had deeply infiltrating endometriosis involving the rectum, sigmoid colon and the rectovaginal septum, which was removed by laparoscopic surgery. During surgery the affected bowel segment, the deeply infiltrating nodule of the rectovaginal septum and the posterior vaginal wall were resected and the 12 cm long specimen was removed transvaginally. Postoperative bleeding was noted in the first postoperative day, which was treated laparoscopically, as well. This case history confirms data from the literature showing that the natural orifice specimen extraction procedure can widely be applied during operations for deeply infiltrating endometriosis and that laparoscopic anterior resection is a safe and feasible method for the treatment of colorectal deeply infiltratnig endometriosis. Moreover, perioperative complications can be treated by means of laparoscopic surgery.
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar I. Szülészeti és Nőgyógyászati Klinika Budapest Baross u. 27. 1088.
authors.forename: Attila
authors.initials: A
authors.lastname: Bokor
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar I. Szülészeti és Nőgyógyászati Klinika Budapest Baross u. 27. 1088.
authors.forename: Akos
authors.initials: A
authors.lastname: Pohl
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar I. Sebészeti Klinika Budapest.
authors.forename: Péter
authors.initials: P
authors.lastname: Lukovich
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar I. Szülészeti és Nőgyógyászati Klinika Budapest Baross u. 27. 1088.
authors.forename: János
authors.initials: J
authors.lastname: Rigó
mesh_terms: D000328:Adult; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007422:Intestines / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D057605:Natural Orifice Endoscopic Surgery; D012086:Reoperation; D016896:Treatment Outcome; D014621:Vagina
keywords: NOSE; deeply infiltrating endometriosis; multidisciplinary laparoscopic surgery; multidiszciplináris laparoszkópia; mélyen infiltráló endometriosis