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Laparoscopic shaving of rectosigmoid deep infiltrating endometriosis under laparoscopic ultrasound guidance
Danielle Hardman1, Robert Bennett2, Emad Mikhail3
1Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida.
Objective:
To present laparoscopic shaving of rectosigmoid endometriosis using the novel approach of laparoscopic ultrasound guidance to enhance complete excision.
Design:
Video article.
Setting:
Academic Tertiary Hospital.
Patient(S):
A 41-year-old G3P2012 female with longstanding history of pelvic pain refractory to medical management. Imaging was suggestive of deep infiltrating endometriosis involving the rectosigmoid colon.
Intervention(S):
Laparoscopy for rectosigmoid endometriosis with the use of intraoperative ultrasound.
Main Outcome Measure(S):
Laparoscopic excision of rectosigmoid endometriosis under ultrasound guidance.
Result(S):
N/A.
Conclusion(S):
It is important to perform a complete pre-operative evaluation to determine the extent of disease and the necessity of a multidisciplinary approach. Intraoperative laparoscopic ultrasound can provide additional information including size and depth of lesions, which could play a role in surgical decision making. Laparoscopic ultrasound may enhance complete excision of deep endometriosis lesions and decrease the incidence of recurrence.
