Complex Endometriosis Center

Surgery for multiple digestive endometriosis lesions

Endosud network RMM meeting presentation June 4, 2024

The CEC is a regular contributor to the Endosud network, helping to set up the endometriosis care network in the PACA region, and presents the results of its latest studies.

Professor DONNEZ presented thebenefits of shaving in association with short sigmoidal resection in the case of multiple lesions, and the distant results for patients. These procedures are regularly performed at the CEC in close partnership with the Digestive Surgery Department and Dr Alexandre LlORY.

The undeniable advantage of this technique is that it preserves the rectum intact (rectal shaving), while performing a short digestive resection averaging between 4 and 7 cm. The colonic anastomosis is therefore located higher up, at a distance from the cul de sac of Douglas, which reduces the risk of vaginal fistula, since there is no rectal amputation and therefore no low anastomosis. The average hospital stay is 3 to 5 days, and the risk of complications is as low as for conservative surgery, while the risk of recurrence is very low, at around 1.6%.

CEC is currently a pioneer in this surgical technique, in which shaving is combined for the first time with digestive resection.

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