Rectal Shaving Using Plasma Energy in Deep Infiltrating Endometriosis of the Rectum: Four Years of Experience

摘要

Abstract Study Objective To evaluate postoperative complications, digestive function and fertility outcomes in patients managed by rectal shaving using plasma energy in deep infiltrating endometriosis of the rectum. Design A single-center retrospective cohort study using data recorded prospectively. Design Classification Canadian Task Force classification II-2. Settings Department of Gynecology and Obstetrics of Rouen University Hospital (France). Patients One hundred and ten patients treated between December 2012 and December 2016. Interventions Laparoscopic rectal shaving using plasma energy. Measurements and Main Results Clinical history, baseline symptoms, preoperative assessment, intraoperative findings, and postoperative outcomes were recorded prospectively. Follow-up evaluations were performed at 1 year and 3 years. Mean age of patients was 37?±?6.4 years. Most patients had rectal nodules infiltrating either the mid or upper rectum and measuring Conclusions Rectal shaving using plasma energy allows for a low rate of postoperative complications with good digestive function and fertility outcomes and appears to be suitable in selected women with symptomatic rectal endometriosis. ]]>