Single-center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis

Introduction: bowel endometriosis, defined as the presence of endometrial tissue infiltrating the intestinal muscularis propria layer and beyond (3), has a predilection for the sigmoid colon and rectum. methods: we examined and described the role of surgical resection of bowel deep infiltrating endometriosis (die) along with primary gynecological resection in 9 patients. results: these 9 patients had rectal die that either infiltrated the deep muscularis layer or involved more than half of the bowel circumference, in which case surgical resection was necessary to avoid distorting the bowel axis and subsequent stricture. cases with only perirectal fat and rectal serosa involvement without lumen obstruction were treated with either disc excision or shaving and were excluded from this study. conclusion: segmental resection can safely and feasibly be incorporated into the comprehensive multidisciplinarymanagement of bowel endometriosis, even with minimally invasive techniques. further efforts to expand its use are necessary, broadening the scope of bowel endometriosis management across the country.