Anterior Resection of a Rectal Endometriotic Nodule

Abstract

Study Objective: Deeply infiltrating endometriosis includes rectovaginal lesions that might greatly alter the quality of life (dysmenorrhea, dispareunia, dyschezia, rectorragy). The indications for colorectal resection are controversial because of the risk of complications. We present a video showing our technique of an anterior rectal endometriotic nodule resection with a circular stapler in a patient with catamenial dyschezia. For the anterior rectal resection we used circular stapler (DST Series™ EEA™ of 31 mm, Autosuture ®). This device places a circular, double staggered row of titanium staples and resects the excess tissue, creating a circular anastomosis. The instrument is activated by squeezing the handle firmly as far as it will go. A study analysing the circular stapler approach is ongoing. Primary results show lower operative time, blood loss and complications. This technique of discoid bowel resection may allow us to have less invasive treatment with better outcomes. Study Objective: Deeply infiltrating endometriosis includes rectovaginal lesions that might greatly alter the quality of life (dysmenorrhea, dispareunia, dyschezia, rectorragy). The indications for colorectal resection are controversial because of the risk of complications. We present a video showing our technique of an anterior rectal endometriotic nodule resection with a circular stapler in a patient with catamenial dyschezia. For the anterior rectal resection we used circular stapler (DST Series™ EEA™ of 31 mm, Autosuture ®). This device places a circular, double staggered row of titanium staples and resects the excess tissue, creating a circular anastomosis. The instrument is activated by squeezing the handle firmly as far as it will go. A study analysing the circular stapler approach is ongoing. Primary results show lower operative time, blood loss and complications. This technique of discoid bowel resection may allow us to have less invasive treatment with better outcomes.