Use of Circular Stapler for Laparoscopic Excision of Rectosigmoid Anterior Wall Endometriosis

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Publication:

Surgical Technology International XVII - Gynecology

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Author(s)

Ricardo M.A. Pereira, M.D.
Associate Professor, Obstetrics and Gynecology Department, Londrina State University, Londrina, Paraná, Brazil, Pelvic Surgery Department, Huntington Reproductive Medicine Centre, São Paulo, Brazil

Alysson Zanatta, M.D.

Pelvic Surgery Department, Huntington Reproductive Medicine Centre
São Paulo, Brazil

Harry Reich, M.D.

Advanced Gynecologic Laparoscopy Centre
New York, New York, USA

Paulo H.M. Bianchi, M.D.

Pelvic Surgery Department, Huntington Reproductive Medicine Centre
São Paulo, Brazil

Paula B. Fettback, M.D.

Pelvic Surgery Department, Huntington Reproductive Medicine Centre
São Paulo, Brazil

Eduardo L.A. Motta, M.D.
Director, Pelvic Surgery Department, Huntington Reproductive Medicine Centre
São Paulo, Brazil

Paulo C. Serafini, M.D.
Director, Pelvic Surgery Department, Huntington Reproductive Medicine Centre
São Paulo, Brazil

Abstract

The objective of this study was to assess the feasibility and safety of laparoscopic rectosigmoid anterior wall discoid resection for endometriosis using the circular stapler. A retrospective analysis was conducted of nine consecutive patients undergoing laparoscopic radical excision of pelvic endometriosis, including bowel anterior wall discoid excision, at the Fertility and Pelvic Surgery Clinic and private hospitals in São Paulo, Brazil. The selected intervention was a radical laparoscopic endometriosis resection, including rectosigmoid anterior wall excision with the circular stapler. For certain types of bowel endometriosis, the anterior wall discoid stapler excision proved a suitable option that diminishes the chances of serious complications such as bowel fistula or anastomosis dehiscence.