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Updated: Jun 4, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Surgical Treatment Experience of Intestinal Endometriosis
Henry Octavio Rodríguez1, Javier Alejandro Garcia Salazar2, Diana Carolina Andrade Rodriguez1
1Gynecological Endoscopic Surgery, Obstetrics and Gynecology Department, Fundación Universitaria de Ciencias de la Salud, Bogotá, Colombia. (Drs. Rodríguez, Andrade Rodriguez, and Gomez).
Study Design:
Retrospective descriptive cohort.
Population:
Patients who underwent endometriosis resection with colorectal intervention between January 2019 and December 2023. A total of 36 patients met the inclusion criteria at San José Hospital, Bogotá, Colombia.
Objectives:
To describe the demographic and clinical characteristics, surgical procedures, and intra- and postoperative complications.
Main Results:
Ten patients (27.7%) presented gastrointestinal symptoms that were not associated with lesion size. Six patients (16.6%) had positive findings on physical examination, whereas abnormal imaging results were documented in 25 patients (69.4%). Lesions were most frequently located in the rectum (91.6%), followed by the sigmoid colon, appendix, and cecum. More than half of the lesions (52%) measured less than 3 cm. The intraoperative complication rate was 13.9%, and postoperative complications occurred in 16.7% of cases.
Conclusion:
The management of intestinal endometriosis requires a multidisciplinary approach involving expert gynecological endoscopists in collaboration with colorectal surgeons to minimize complications. Our findings highlight the importance of individualized surgical strategies, with a focus on fertility preservation whenever possible.
