[Laparoscopic resection of rectovaginal endometriosis: a case report]

Two patients aged 35 i 40 years after extensive clinical evaluation were operated by means of combined approach--laparoscopy and vaginal resection of endometriotic tumors. First laparoscopy was performed in order to dissect rectovaginal septum and separate rectum from the vagina in order to facilitate complete vaginal resection of endometriotic lesions. The integrity of rectum was checked by means of bubble test and after the control of the haemostasis endoscope was removed. The post operative period was uneventful and the patients were discharged from the hospital on the 5th and 8th day of surgery. The combined laparoscopic and vaginal approach in order to dissect endometriotic rectovaginal tumor is in our opinion the treatment of choice for this peculiar localization of ectopic endometrium.