Abstract
Study Objective To demonstrate the relevant anatomy and surgical steps in excision of endometriosis of the cul-de-sac with associated fibrosis. Design Case report. Setting Private practice of Gynecological Surgery. Patients or Participants Patient with endometriosis of the cul-de-sac with imaging evidence of peri-rectal fibrosis. Interventions Laparoscopic excision of significant endometriosis and fibrosis of the cul-de-sac is demonstrated. Recognition of superficial rectal injury and primary repair is demonstrated. Measurements and Main Results Successful minimally invasive excision of endometriosis of the cul-de-sac with rectal involvement is demonstrated. Conclusion Minimally invasive surgery is efficacious in the treatment endometriosis of the cul-de-sac with rectal involvement.
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