Fertility sparing double discoid excision of rectosigmoid deep endometriosis under robotic-integrated ultrasound guidance

Abstract

ObjectiveTo present the use of robotic-integrated ultrasound in performing a double discoid excision of multifocal rectosigmoid endometriosis. DesignVideo article Statement of ConsentThe patient included in this video gave consent for publication of the video and posting of the video online including social media, the journal website, scientific literature websites (such as PubMed, ScienceDirect, Scopus, etc.) and other applicable sites. SubjectsA 26 year-old G0 with chronic pelvic pain, dyschezia and dysmenorrhea refractory to medical management who desires future fertility. Imaging was suggestive of deep infiltrating endometriosis involving the rectosigmoid colon. Exposuren/a Main Outcome MeasuresDouble Discoid Excision of multifocal rectosigmoid endometriosis using robotic integrated ultrasound. Resultsn/a ConclusionPerforming a complete pre-operative evaluation in patient’s with suspected endometriosis is important in determining the extent of disease and the necessity of a multidisciplinary approach. Robotic-integrated ultrasound can provide additional information including size and depth of bowel endometriosis lesions, which can play a role in surgical decision making. Performing a double discoid excision of multifocal rectosigmoid endometriosis with the use of robotic-integrated ultrasound is a technique that can avoid the need for a segmental bowel resection.