8778 Laparoscopic Low Anterior Resection of Endometriosis Pelvic Mass with Side-to-End Colorectal Anastomosis

Abstract

<h3>Study Objective</h3> To perform resection of a recto-vaginal endometriosis mass and end-to-side bowel resection with minimally invasive surgery. <h3>Design</h3> Case study. <h3>Setting</h3> General endotracheal anesthesia. Foley catheter in place. Patient in modified lithotomy with both arms tucked, all pressure points padded and all extremities in neutral position. The patient received preoperative antibiotics and sequential compression devices were placed. The abdomen was prepped and draped in the usual sterile fashion. <h3>Patients or Participants</h3> Patient with endometriosis involving the rectum and vagina desiring minimally invasive surgery. <h3>Interventions</h3> Laparoscopic low anterior resection with side-to-end colorectal anastomosis, trachelectomy, bilateral oophorectomy, lysis of adhesion, flexible sigmoidoscopy, cystoscopy. <h3>Measurements and Main Results</h3> surgery performed without complications; patient recovery was uncomplicated. <h3>Conclusion</h3> We show in this surgical video the possibility to resect a recto-vaginal endometriosis mass and to perform end-to-side bowel resection using minimally invasive surgery without intra-operative or post-operative complications.