Laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum

C. Chapron, S. Jacob, J. B. Dubuisson, M. Vieira, E. Liaras, A. Fauconnier

Research output: Contribution to journalArticle

105 Citations (Scopus)

Abstract

Background. Two aims: 1) To assess the results of laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum (RVS); 2) to pinpoint the differences between this procedure and that used for deep endometriotic lesions located on the uterosacral ligaments (USL). Methods. Descriptive retrospective study. Twenty-nine consecutive patients operated for deep endometriosis infiltrating the RVS were included in this series. Results. One patient only (3.5%) presented a major complication of the recto-vaginal fistula type. After a one step reoperation under anesthesia, the post operative history was uncomplicated and no sequelae are to be deplored. With respect to dysmenorrhea (DM), deep dyspareunia (DP) and chronic pelvic pain (CPP), there was an improvement in respectively 91.7% (22 patients), 100% (24 patients) and 92.9% (13 patients) of cases. For each of these 3 symptoms the median score according to the visual analog scale was significantly lower after the operation (for DM: 7.6±2.0 versus 1.7±2.6; for DP 7.5±1.9 versus 0.5±1.1; for CPP 5.9±2.8 versus 1.4±3.2) (p

Original languageEnglish
Pages (from-to)349-354
Number of pages6
JournalActa Obstetricia et Gynecologica Scandinavica
Volume80
Issue number4
DOIs
Publication statusPublished - 2001

Fingerprint

Endometriosis
Dyspareunia
Dysmenorrhea
Pelvic Pain
Chronic Pain
Vaginal Fistula
Visual Analog Scale
Reoperation
Ligaments
Anesthesia
Retrospective Studies
History

Keywords

  • Deep endometriosis
  • Operative laparoscopy
  • Rectovaginal septum
  • Uterosacral ligaments

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum. / Chapron, C.; Jacob, S.; Dubuisson, J. B.; Vieira, M.; Liaras, E.; Fauconnier, A.

In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 80, No. 4, 2001, p. 349-354.

Research output: Contribution to journalArticle

Chapron, C. ; Jacob, S. ; Dubuisson, J. B. ; Vieira, M. ; Liaras, E. ; Fauconnier, A. / Laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum. In: Acta Obstetricia et Gynecologica Scandinavica. 2001 ; Vol. 80, No. 4. pp. 349-354.
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