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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: Dec 14, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
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Bowel resection for intestinal endometriosis.

Simone Ferrero1, Cesare Stabilini2, Fabio Barra1

  • 1Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Largo R. Benzi 10, Genoa, 16132, Italy; Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Italy.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|July 16, 2020
PubMed
Summary

Segmental resection (SR) is a common treatment for bowel endometriosis, with robotic surgery offering a safe alternative. While SR improves symptoms, potential complications and varying recurrence rates require careful consideration.

Keywords:
Bowel endometriosisColorectal resectionComplicationsRectosigmoid endometriosisRecurrenceSurgery

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Area of Science:

  • Gastroenterology
  • Gynecologic Surgery
  • Minimally Invasive Surgery

Background:

  • Segmental resection (SR) has been the predominant surgical technique for bowel endometriosis over the past two decades.
  • Laparoscopic approaches are currently standard, with robotic-assisted surgery emerging as a safe alternative.

Purpose of the Study:

  • To review the current evidence on segmental resection for bowel endometriosis.
  • To discuss the safety, efficacy, and complications associated with this surgical approach.

Main Methods:

  • Literature review of studies on segmental resection for bowel endometriosis.
  • Analysis of surgical techniques, including laparoscopy and robotic-assisted surgery.
  • Evaluation of reported complications and functional outcomes.

Main Results:

  • Segmental resection is effective in improving pain and intestinal symptoms in patients with bowel endometriosis.
  • Major complications include rectovaginal fistula and anastomotic leakage; other risks involve pelvic abscess, bleeding, ureteral damage, and stricture.
  • Nerve-sparing techniques may enhance functional outcomes post-surgery.

Conclusions:

  • Segmental resection remains a key treatment for bowel endometriosis, with robotic assistance offering a viable minimally invasive option.
  • Careful patient selection and surgical technique are crucial to minimize complications and optimize outcomes.
  • Further standardization in defining recurrence is needed for consistent reporting across studies.