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Surgery: Rectovaginal septum, endometriosis or adenomyosis: laparoscopic management in a series of 231 patients
Abstract
A series of 231 cases of deep-infiltrating endometriosis of the rectovaginal septum is presented. Laparoscopic procedures with excision of deep fibrotic endometriotic nodules were performed in all cases. In three cases, the bowel lumen was entered. No other peri-operative complications were observed. Three cases of urinary retention were reported. The nodule resection resulted in considerable pain relief. Histologically, the rectovaginal nodule was similar to an adenomyoma. Indeed it was a circumscribed nodular aggregate of smooth muscle and endometrial glands. This form of disease must be considered as a specific disease which originates from the Mullerian rests present in the rectovaginal septum and we suggest that it be called 'rectovaginal adenomyosis'.
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“a progestogen (lynestrenol) was unable to reduce vascularization (evaluated by the capillary–stroma relative surface area) in endometriotic lesions, but a significant decrease was observed after GnRH agonist therapy [55].”
From Endometriosis and Medical Therapy: From Progestogens to Progesterone Resistance to GnRH Antagonists: A Review (2021) · cites this paper as [55]
In the citing paper
“the risk of venous or arterial thrombosis is not negligible [54,55,56,57,58,59,60,61,62,63,64,65,66,67].”
From Endometriosis and Medical Therapy: From Progestogens to Progesterone Resistance to GnRH Antagonists: A Review (2021) · cites this paper as [55]
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ENDOMETRIOSIS: MEDICAL AND SURGICAL TREATMENTEduardo
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Rectal Shaving in Colorectal Endometriosis Surgery—Definition, Evidence and Variability
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“In a large series reported by Donnez et al. [5], rectal shaving was described as meticulous excision of fibrotic endometriotic tissue from the anterior rectal wall during surgery for rectovaginal disease.”
Influential
Metadata
- Authors
- Donnez, J., Nisolle, M., Casanas-Roux, F., Bassil, S., & Anaf, V.
- Affiliations
- Cliniques Universitaires Saint-Luc (BE)
- ORCID
- Nisolle, M.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 1995-03
- Volume
- 10
- Issue
- 3
- Pages
- 630-635
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2120545985
- Cited by
- 175
- References
- 0
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 8 · 2019: 2 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 3 · 2013: 12 · 2012: 5
- FWCI
- 7.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- Digital Access to Libraries (submittedVersion)
- Open Repository and Bibliography (University of Liège) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Keywords
- rectovaginal septum, deep infiltrating endometriosis, laparoscopic resection, endometriotic nodules, Müllerian remnants, urinary retention, analgesia, adenomyoma
- MeSH terms
- Endometriosis, Female, Humans, Image Processing, Computer-Assisted, Infertility, Female, Laparoscopy, Radiography, Rectal Diseases, Vaginal Diseases, Pelvic Pain
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