Table 2 Results from studies done with conservative surgical techniques for rectovaginal endometriosis
From: Surgical treatment of rectovaginal endometriosis with rectal involvement
Number (n) | Follow-up (months) | Technique | Complications | Improvement | Fertility | Recurrence | |
|---|---|---|---|---|---|---|---|
Chapron et al. [57] | 29 | 12 | Laparoscopic nodular resection | RVF: 3.5% | Dysmenorrhea: 91.7%, Dyspareunia: 100%, Pelvic pain: 93% | ||
Hollett-Caines et al. [58] | 81 | 96 | Laparoscopic shaving and posterior vaginal fornix resection | Fallopian tube abscess: 1.2% | Symptoms: 88% | PR: 57% (26/46), SP: 31%, ART: 26% | |
Angioni et al. [60] | 31 | 60 | Laparoscopic nodular resection and posterior vaginal fornix resection | Dysmenorrhea: 60%, Dyspareunia: 70%, Pelvic pain: 60% | No relapse after 5 years follow-up | ||
Kristensen and Kjer [61] | 48 | 18 | Laparoscopic rectovaginal septum and posterior vaginal fornix resection | Peritonitis: 2%, Bladder perforation: 2%, Vaginal rupture: 2% | Symptoms: 92%, Quality of life improvement: 73% | Nodules: 10%, Symptoms: 9% | |
Donnez and Squifflet [63] | 500 | 36 | Laparoscopic shaving | Rectal Perforation: 1.4%, Ureteral damage: 0.8%, BD: 0.8% | PR: 84% (328/388), SP: 57%, ART: 27% | Symptoms: 7.8% |