ГЛУБОКИЙ ИНФИЛЬТРАТИВНЫЙ ЭНДОМЕТРИОЗ РЕКТОВАГИНАЛЬНОЙ ПЕРЕГОРОДКИ С ВОВЛЕЧЕНИЕМ ПРЯМОЙ КИШКИ. СОВРЕМЕННОЕ СОСТОЯНИЕ ПРОБЛЕМЫ

Abstract

Deep infiltrative endometriosis is a common disease affecting young socially active women. The urgency of the problem of deep infiltrative endometriosis is due to the complexity of diagnosis, the lack of a unified classification of the disease and, as a consequence, the lack of a unified strategy for the management of such patients. The importance of infiltrative endometriosis is emphasized by the fact that, as a rule, it is a multidisciplinary surgical intervention of high complexity, a feature of which is often the inability to determine the final volume of surgical intervention at the preoperative stage. In the structure of surgical interventions, surgeries for deep infiltrative endometriosis have a relatively high percentage of complications and in the context of operations that improve the quality of life, have many controversial aspects. Over the years of laparoscopic surgery, the approach to surgical interventions for deep infiltrative endometriosis has changed; the nature of interventions tends to be radical, while developing algorithms that ensure the safety of patients. To date, there is not only a complete classification of the disease, but, as a result, there is no single strategy for managing patients with deep infiltrative endometriosis. The international experience of gynecologists was compiled with the aim of comparing the knowledge accumulated at the present stage about the problem of deep infiltrative endometriosis of the rectovaginal septum with the involvement of the rectum.