Primary vaginal anterior rectum resection with laparoscopic anastomosis in a woman suffering from rectal stenosis because of deep-infiltrating endometriosis (DIE)

In deep-infiltrating endometriosis (DIE) advanced surgical techniques, such as laparoscopic-assisted anterior rectum resection and others are recognized as safe and effective therapeutic approaches. For technical reasons in most cases, a laparotomy or minilaparotomy has to be done, which can be avoided in some cases by transvaginal-laparoscopic low anterior rectum resection. In search for additional low invasive approaches, the primary vaginal anterior rectum resection with laparoscopic anastomosis was developed. This technique, we report here in detail, can be characterized as a 2-step-procedure. Step 1 (vagina…