Abstract
Posterior vaginal fornix lesion is the most common type of deep endometriotic lesion. This video is intended to demonstrate the availability of a diode laser system for the shaving technique of laparoscopic excision of the deep endometriotic rectovaginal lesion. We introduce two cases of endometriosis patients presenting with symptom of severe dysmenorrhea and bluish lesions protruding into the posterior vaginal fornix. On proper preoperative evaluation deep endometriotic rectovaginal nodule was identified at both cases. There was no rectal mucosal involvement. Surgical techniques include seperation of the anterior rectum from the posterior vagina and excision of the endometriosis in that area. Careful dissection is carried out using a diode laser system. Total procedure time was 120 and 90 minutes respectively. The patients were discharged on the third postoperative day without any complications. The shaving surgical approach with a diode laser system leads to a safe and effective laparoscopic dissection of deep endometriotic lesions.
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