Laparoscopic shaving for colorectal endometriosis: a literature review

Authors

  • Mounir Moukit Department of Obstetrics and Gynecology, Moulay Ismail Military Hospital, Meknes, Morocco
  • Mohammed Rahmoune Department of Obstetrics and Gynecology, Moulay Ismail Military Hospital, Meknes, Morocco
  • Ismail Allilou Department of Obstetrics and Gynecology, Moulay Ismail Military Hospital, Meknes, Morocco
  • Moulay Abdellah Babahabib Department of Obstetrics and Gynecology, Moulay Ismail Military Hospital, Meknes, Morocco

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240821

Keywords:

Colorectal endometriosis, Shaving, Complications, Recurrence

Abstract

Colorectal endometriosis is one of the most challenging conditions to manage. Surgical treatment is required when lesions are symptomatic, impairing bowel, urinary, sexual, and reproductive functions. Preoperative radiological examination should be extensive to determine the appropriate surgery: laparoscopic shaving, disc excision or rectal resection. We demonstrated that in the hands of experienced surgeons, shaving technique is possible in more than 95% of colorectal endometriotic nodules, with low complication rates compared to resection. Shaving and bowel resection are associated with comparable recurrence rates. As shaving is indicated whatever the size of deep lesions, surgeons should first consider rectal shaving to remove deep bowel endometriosis. Bowel resection should only be performed in case of major rectal stenosis (>80%), multiple or posterior lesions and stenotic colorectal nodules.

 

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Published

2024-03-28

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Section

Review Articles