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Published on: January 17, 2019
Mesentery-Preserving Hand-Sewn Anastomosis for Rectal Endometriosis: A Nerve-Sparing Laparoscopic Technique
Objective:
To describe a mesentery-preserving, nerve-sparing laparoscopic technique for rectal endometriosis.
Design:
Retrospective cohort study.
Setting:
Single centre.
Population Or Sample:
Women requiring bowel resection for rectal endometriosis.
Methods:
Full-thickness anterior lesion excision and mesorectum-preserving limited posterior resection with hand-sewn anastomosis, compared with conventional stapled resection.
Main Outcome Measures:
Anastomotic integrity and 12-month functional outcomes.
Results:
The technique safely preserves neurovascular structures. Initial proof-of-concept data confirm surgical feasibility.
Conclusions:
This approach is feasible and hypothesis-generating, supporting future prospective trials.
