title: [Rectovaginal endometriosis--analysis of 160 cases].
abstract: OBJECTIVE
  The aim of the study was a retrospective analysis of the medical records of patients who underwent surgery due to deep infiltrating rectovaginal endometriosis (mainly with the use of the 'shaving' technique).
  
  
  METHODS
  We analysed 160 cases of patients who underwent surgery due to the deep infiltrating rectovaginal endometriosis in our ward between 2003-2014. Depending on lesion localization, disease severity and clinical characteristics, three possible ways of operation were proposed: laparoscopic, vaginal or a combined vagino-laparoscopic approach.
  
  
  RESULTS
  A total of 120 patients underwent laparoscopic removal of the endometrial lesions, whereas 17 were operated vaginally and 23 with the use of the combined approach. Nodule resection was successfully performed in all cases. The combined vagino-laparoscopic operations were characterized by the longest operating time. The rate of perioperative complications was low in the group of patients who underwent laparoscopic or combined operations. The necessity of bowel wall suturing occurred in 15 cases. This procedure was performed in order to strengthen the bowel wall (in cases when no perforation occurred) or due to bowel resection during surgery. Unexpected bowel perforation occurred in only 5 cases. Conclusions: Vaginal, laparoscopic and the combined vagino-laparoscopic surgeries can be safely performed in cases of deep rectovaginal endometriosis.
authors.forename: Miłosz
authors.initials: M
authors.lastname: Wilczyński
authors.forename: Monika
authors.initials: M
authors.lastname: Wiecka-Płusa
authors.forename: Beata
authors.initials: B
authors.lastname: Antosiak
authors.forename: Grazyna
authors.initials: G
authors.lastname: Maciołek-Blewniewska
authors.forename: Dominika
authors.initials: D
authors.lastname: Majchrzak-Baczmańska
authors.forename: Andrzej
authors.initials: A
authors.lastname: Malinowski
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D011044:Poland; D011184:Postoperative Period; D012002:Rectal Diseases / Q000601:surgery*; D012007:Rectum / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D014621:Vagina / Q000473:pathology / Q000601:surgery; D014623:Vaginal Diseases / Q000601:surgery*