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Comparison between standard and reverse laparoscopic techniques for rectovaginal endometriosis

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Abstract

Background

This study was designed to compare the surgical outcomes of standard and reverse laparoscopic techniques for the treatment of rectovaginal endometriosis.

Methods

A retrospective study was conducted in a teaching and research hospital (tertiary center), which included 75 women subjected to laparoscopic treatment of rectovaginal endometriosis that required both vaginal resection and rectal surgery. Standard and reverse laparoscopic techniques were compared in 35 and 40 women, respectively. Student’s t test, Mann–Whitney test, and Fisher’s exact test were performed to compare groups when needed; p < 0.05 was considered statistically significant.

Results

There was no statistically significant difference in operating time, blood loss, conversion rate, major intraoperative complications, length of hospital stay, and minor postoperative complications between the two techniques. The rate of major postoperative complications for the standard technique was 22.9%, whereas only 5% for the reverse technique (p = 0.02). The rate of postoperative rectovaginal fistula was the same for both techniques.

Conclusions

Major postoperative complications were reduced by using the reverse technique.

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Disclosures

William Kondo, Nicolas Bourdel, Kris Jardon, Stefano Tamburro, Daniele Cavoli, Sachiko Matsuzaki, Revaz Botchorishvili, Benoit Rabischong, Jean L. Pouly, Gérard Mage, Michel Canis have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Gynecologic Surgery, CHU Estaing, Clermont-Ferrand, France

    William Kondo, Nicolas Bourdel, Kris Jardon, Stefano Tamburro, Daniele Cavoli, Sachiko Matsuzaki, Revaz Botchorishvili, Benoit Rabischong, Jean L. Pouly, Gérard Mage & Michel Canis

  2. 1 Place Lucie Aubrac, 63003, Clermont-Ferrand, Cedex 1, France

    William Kondo

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  1. William Kondo
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  2. Nicolas Bourdel
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Correspondence to William Kondo.

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Kondo, W., Bourdel, N., Jardon, K. et al. Comparison between standard and reverse laparoscopic techniques for rectovaginal endometriosis. Surg Endosc 25, 2711–2717 (2011). https://doi.org/10.1007/s00464-011-1635-z

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  • DOI: https://doi.org/10.1007/s00464-011-1635-z

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