Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum
endometriosis by the technique of videolaparoscopy and the C02 laser.
Therefore, a standard multicompartment procedure is necessary for the treatment of multicompartment pelvic organ prolapse, and LVMR helps to correct posterior and middle pelvic organ prolapse by the position of mesh since the anterior rectal fixation of mesh reinforces rectovaginal septum
and provides some degree of suspension to the middle pelvic compartment (1).
Lesion Cases/total % Endometriomas 156/196 79,6% Adenomyosis 76/196 38,8% Rectovaginal septum
95/196 48,5% Uterosacral ligaments 64/196 32,7% Torus 107/196 54,6% Pelvic tethering 120/196 61,2% Douglas obliteration 126/196 64,3% Table 2: Endometriotic bowel nodules identified at MRI and Surgery.
Expression of p63 differs in peritoneal endometriosis, endometriomas, adenomyosis, rectovaginal septum
endometriosis and abdominal wall endometriosis.
As in the anterior compartment, a posterior compartment defect (rectocele) in the rectovaginal septum
may be central, lateral, or combined.
Extensive surgery is frequently required for the treatment of rectovaginal septum
T Ohba and his associates in Japan were the first to use this tool to evaluate patients with endometriosis of the rectovaginal septum
, using a linear transducer (Hum.
Pelvic examination reveals a normal-sized uterus and adnexa as well as a tender nodule in the rectovaginal septum
Type I lesions are conically shaped rectovaginal septum
nodules and are located between the posterior and anterior walls of the vaginal mucosa and rectal muscularis, respectively.
(19,20) For the diagnosis of DIE of the uterosacral ligaments and rectovaginal septum
, TVUS has fair sensitivity (>50%) and excellent specificity (>90%).
David Nichols, the traditional posterior colporrhaphy involves opening the posterior vaginal wall epithelium in the midline and dissecting laterally and superiorly, then plicating the posterior vaginal wall muscularis--or rectovaginal septum
, as the endopelvic fascia is termed--in the midline.
Nodularity along the uterosacral ligaments, limited reproductive organ mobility, and thickening of the rectovaginal septum
also suggest deep infiltrating lesions.