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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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In the citing paper
“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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Cited by
Sorted by citations
Nisolle, M., & Donnez, J. (1997) · Fertility and Sterility · doi:10.1016/s0015-0282(97)00191-x · Cited by 1,279
Chapron, C., Fauconnier, A., Vieira, M., Barakat, H., Dousset, B. E., Pansini, V., Vacher‐Lavenu, M., & Dubuisson, J. B. (2003) · Human Reproduction · doi:10.1093/humrep/deg009 · Cited by 584
Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution
Chapron, C., Chopin, N., Borghese, B., Foulot, H., Dousset, B., Vacher-Lavenu, M. C., Vieira, M., Hasan, W., & Bricou, A. (2006) · Human Reproduction · doi:10.1093/humrep/del079 · Cited by 459
“The second theory is that of metaplasia (Meyer, 1919), either of the celomic metaplasia (Gruenwald, 1942) or Mullerian remnants metaplasia (Donnez et al., 1995).”
The effect of surgery for symptomatic endometriosis: the other side of the story
Vercellini, P., Crosignani, P. G., Abbiati, A., Somigliana, E., Viganò, P., & Fedele, L. (2009) · Human Reproduction Update · doi:10.1093/humupd/dmn062 · Cited by 339
“…surgery has been performed differently, as some authors support simple nodulectomy (disk resection) (Reich et al., 1991; Candiani et al., 1992; Donnez et al., 1995, 1997; Anaf et al., 2001; Chapron et al., 2001; Angioni et al., 2006; Kristensen and Kjer, 2007) and others low anterior…”
BackgroundInfluentialSurgical treatment of deeply infiltrating endometriosis with colorectal involvement
Meuleman, C., Tomassetti, C., D'Hoore, A., Van Cleynenbreugel, B., Penninckx, F., Vergote, I., & D'Hooghe, T. (2011) · Human Reproduction Update · doi:10.1093/humupd/dmq057 · Cited by 338
“It is hard to prove this hypothesis in view of the absence of outcome studies reporting recurrence after disc excision, shaving or superficial excision except for one study published 15 years ago (Donnez et al., 1995).”
Background
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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