Abstract
<h3>Study Objective</h3> Our study objectives include presenting laparoscopic shaving of rectosigmoid endometriosis and describing the novel approach of using laparoscopic ultrasound guidance to enhance complete excision. <h3>Design</h3> Laparoscopic ultrasound during rectosigmoid deep infiltrating endometriosis excision. <h3>Setting</h3> Tertiary care center. <h3>Patients or Participants</h3> Patient presenting for multidisciplinary surgical excision of DIE. <h3>Interventions</h3> The intervention performed includes excision of rectosigmoid deep infiltrating endometriosis with use of laparoscopic ultrasound. <h3>Measurements and Main Results</h3> N/A. <h3>Conclusion</h3> It is important to perform a complete pre-operative evaluation to determine the extent of disease and the necessity of a multidisciplinary approach. Laparoscopic ultrasound can provide additional information including size and depth of lesions, which could play a role in surgical decision making. Laparoscopic ultrasound may enhance complete excision of DIE lesions and decrease the incidence of recurrence.
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