Laparoscopic Treatment of Deep Infiltrating Endometriosis Affecting the Rectosigmoid Colon: Nodulectomy or Segmental Resection?

Intestinal Deep Infiltrating Endometriosis (DIE) is defined as the lesion infiltrating at least the muscular layer of the bowel and it usually affects the rectosigmoid colon. Medical treatment plays an important role in terms of pain relief in women with such lesions, but has a temporary effect. Surgical treatment is considered the gold standard for symptomatic patients and may be conducted by the means of conservative or radical procedures. The former may be called “nodulectomy” and include the rectal shaving, the mucosal skinning and the full-thickness anterior rectal wall excision/disc resection. The latter is called segmental bowel resection. Each type of procedure has different indications, outcomes, and complications. In this paper, we provide the rationale for the surgical treatment of intestinal DIE affecting the rectosigmoid colon. *Corresponding author: Dr. William Kondo, Department of Gynaecology, Sugisawa Medical Center, Curitiba, Parana, Avenida Getulio Vargas, 3163 ap 21, Curitiba, PR, Brazil, Zip Code: 80240-041, Tel: (55) (41) 9222-1065; E-mail: [email protected] Received December 17, 2013; Accepted January 14, 2013; Published January 20, 2013 Citation: Kondo W, Ribeiro R, Trippia C, Zomer MT (2013) Laparoscopic Treatment of Deep Infiltrating Endometriosis Affecting the Rectosigmoid Colon: Nodulectomy or Segmental Resection? Gynecol Obstetric S3: 001. doi:10.4172/2161-0932.S3001 Copyright: © 2013 Kondo W, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.