Robotic Disc Excision with Sutured Repair for Full Thickness Deep Infiltrating Endometriosis of the Sigmoid Colon.

Abstract

<h3>Study Objective</h3> To clearly demonstrate technique for full thickness disc resection and sutured closure for deep infiltrating endometriosis of the sigmoid colon. <h3>Design</h3> N/A. <h3>Setting</h3> Community Hospital. <h3>Patients or Participants</h3> A 36-year-old patient with deep infiltrating endometriosis of the rectovaginal septum, left ovary, and sigmoid colon. <h3>Interventions</h3> A robotic surgery was performed with TLH and LSO, as well as shave resection of rectal endometriosis. A large nodule of sigmoid deep infiltrating endometriosis is identified. Full thickness excision with sutured closure is demonstrated. We include instruction on proper technique for stay suture placement and mucosal suture placement to ensure a wide-lumen closure perpendicular to the axis of the colon. <h3>Measurements and Main Results</h3> N/A. <h3>Conclusion</h3> Full thickness disc resection of the sigmoid colon is both feasible and reproducible using these techniques, either robotically or laparoscopically. Conservative excision techniques such as this allow full excision of diseased tissue while preserving the continuity of the bowel.