Laparoscopic diagnosis and treatment of intestinal endometriosis
Roberto Clarizia1, Giovanni Roviglione1 – , Francesco Bruni1, Daniele Mautone1 – , Carlo Tricolore1, Matteo Ceccerello1, Paola De Mitri1 – , Giacomo Ruffo2 – , Marcello Ceccaroni1 –
1 – Department of Obstetrics and Gynecology, Gynecological Oncology and Minimally Invasive Pelvic Surgery, International School of Surgical Anatomy, IRCCS “Sacro Cuore – Don Calabria” Hospital, Negrar di Valpolicella, Verona
2 – Department of General Surgery, IRCCS “Sacro Cuore – Don Calabria” Hospital, Negrar di Valpolicella, Verona
Corresponding Author: Roberto Clarizia
The diagnosis and treatment of intestinal infiltrating endometriosis represents one of the most difficult challenges for an Endometriosis Unit, where such patients should be mandatorily referred. It is a condition that can be both asymptomatic and debilitating the quality of life of affected women, and which intersects with crucial issues such as reproductive desire and pelvic visceral functions. Correct treatment can indeed lead to a significant improvement in the quality of life but is not without long-term risk in terms of rectal, bladder and sexual dysfunctions, as well as peri-operative surgical complications.
The techniques of shaving, discoid resection and segmental resection should not be considered alternatives but distinct and each finds specific indications for specific subsets of patients taking into account on the size of the lesion, the depth of infiltration and patients symptoms.
Keywords: endometriosis; bowel resection; laparoscopy; bowel shaving; discoid resection.
Available in LRIOG Nr.3 – 2021