Complex Endometriosis Center

Surgery for multiple digestive endometriosis lesions

Endosud network RMM meeting presentation June 4, 2024

The CEC regularly participates in the Endosud network as part of the establishment of a specialized endometriosis care pathway in the PACA region and presents the results of its latest studies.

Professor DONNEZ presented the benefits of shaving in combination with short sigmoid resection for patients with multiple lesions, as well as the long-term outcomes for these patients. These procedures are routinely performed at the CEC in close collaboration with the Department of Gastrointestinal Surgery and Dr. Alexandre LlORY.

The undeniable advantage of this technique is that it preserves the rectum intact (rectal shaving) while performing a short intestinal resection averaging between 4 and 7 cm. The colonic anastomosis is therefore located higher up, away from the Douglas pouch, which reduces the risk of vaginal fistula since there is no rectal resection and thus 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 maintaining a very low recurrence rate of approximately 1.6%.

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