Гинекология и акушерство
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Лапароскопическое лечение глубокого инфильтративного эндометриоза, поражающего ректосигмоидный отдел толстой кишки: нодулэктомия или сегментарная резекция?

Уильям Кондо, Рейтан Рибейро, Карлос Триппиа и Моника Тессманн Зомер

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.