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Updated: Feb 4, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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Colon resection for endometriosis.

Timuçin Erol1, Erhan Reis2, Önder Koç3

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|September 25, 2018
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Summary
This summary is machine-generated.

Endometriosis can impact the sigmoid colon and rectum, potentially requiring surgical intervention. Bowel resection, either laparoscopic or open, may be necessary for severe cases involving the full bowel wall.

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Area of Science:

  • Reproductive Medicine
  • Surgical Gastroenterology

Background:

  • Endometriosis commonly affects women of reproductive age, leading to functional disorders.
  • Surgical intervention for endometriosis may be required when the disease involves anatomical boundaries.
  • The sigmoid colon and rectum are frequently affected due to their anatomical proximity to endometriosis.

Purpose of the Study:

  • To discuss the surgical management of endometriosis involving the sigmoid colon and rectum.
  • To highlight the individualized treatment approach based on patient symptoms and disease extent.

Main Methods:

  • Review of cases where endometriosis affected the sigmoid colon and rectum.
  • Discussion of surgical techniques, including laparoscopic and open bowel resection.
  • Emphasis on individualized treatment strategies.

Main Results:

  • Bowel resection, specifically of the sigmoid colon or rectum, can be a necessary treatment when endometriosis penetrates the entire bowel wall.
  • Laparoscopic resection is a safe and feasible option in many cases.
  • Open resection serves as an alternative when laparoscopic approaches are technically challenging.

Conclusions:

  • Endometriosis involving the sigmoid colon and rectum necessitates individualized treatment plans.
  • Bowel resection is a viable surgical option for full-thickness bowel wall endometriosis.
  • Both laparoscopic and open resection techniques can be employed effectively.