Mesentery-Preserving Hand-Sewn Anastomosis for Rectal Endometriosis: A Nerve-Sparing Laparoscopic Technique.
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- Record sourced from PubMed, PMID 41967973.
- Also identified by DOI 10.1111/1471-0528.70241.
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Abstract
To describe a mesentery-preserving, nerve-sparing laparoscopic technique for rectal endometriosis. Retrospective cohort study. Single centre. Women requiring bowel resection for rectal endometriosis. Full-thickness anterior lesion excision and mesorectum-preserving limited posterior resection with hand-sewn anastomosis, compared with conventional stapled resection. Anastomotic integrity and 12-month functional outcomes. The technique safely preserves neurovascular structures. Initial proof-of-concept data confirm surgical feasibility. This approach is feasible and hypothesis-generating, supporting future prospective trials.