Use of the CEEA stapler to avoid ultra-low segmental resection of a full-thickness rectal endometriotic nodule

The Journal of the American Association of Gynecologic Laparoscopists
S J GordonR Woods

Abstract

A woman with a history of numerous surgical episodes for treatment of aggressive endometriosis experienced rectal symptoms. She was prepared for the possibility of laparotomy with or without colostomy to relieve her symptoms. After extensive laparoscopic dissection of the rectovaginal septum, a circular stapling device (Premium Plus CEEA; Autosuture, Melbourne, Victoria, Australia) was used to excise completely an anterior rectal lesion that otherwise would have resulted in ultra-low rectal resection and anastomosis. Morbidity associated with the latter procedure was avoided; the patient was discharged within 72 hours and experienced no early or late complications. Postoperative barium enema was obviated by rapid return to normal bowel habits and complete resolution of dyschezia and dyspareunia.

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Citations

Jun 19, 2007·Obstetrical & Gynecological Survey·Valentino RemorgidaDan C Martin
Jul 9, 2010·Current Opinion in Obstetrics & Gynecology·Ricardo Mendes Alves PereiraDavid Redwine
Aug 24, 2013·Journal of Minimally Invasive Gynecology·Marco Aurelio Pinho OliveiraThiago D Pereira
Jul 4, 2009·Journal of Minimally Invasive Gynecology·Ricardo Mendes Alves PereiraPaulo César Serafini
Dec 24, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Marco Aurelio Pinho OliveiraRudy Leon De Wilde
Mar 10, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·M RiiskjaerM Seyer-Hansen
Jan 25, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Christina KruseAxel Forman
Mar 7, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H Roman, J-J Tuech
Feb 7, 2016·American Journal of Obstetrics and Gynecology·Basma Darwish, Horace Roman
Apr 19, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Maja L IversenAxel Forman
Jun 7, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·J Keckstein, H Wiesinger
Sep 9, 2015·Diseases of the Colon and Rectum·Horace RomanJean-Jacques Tuech
Oct 19, 2019·Clinical Case Reports·Shaun McCrystalNicholas Lutton
Apr 27, 2020·Journal of Minimally Invasive Gynecology·Horace Roman

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