Rectovaginal septum endometriosis Laparoscopic surgery.docVIP

 PAGE \* MERGEFORMAT 9 Rectovaginal septum endometriosis Laparoscopic surgery Author: Xu Xue-lan, license Ke, Lei Li Xiu, Zhang Juanjuan, Chun-Ping Wang, Min, Zhou Ming, LUO Guang-Nan [Abstract] Objective: To evaluate laparoscopic surgery for recto-vaginal septum endometriosis method. Methods: Retrospective analysis of 8 cases of recto-vaginal septum endometriosis patients with clinical data. Results: 7 routine laparoscopic surgery, a routine laparoscopic vaginal surgery. Resection of lesions by pathological examination confirmed rectovaginal septum endometriosis. Followed up for up to two years, complete resection of lesions were a good prognosis, those who failed to complete removal of lesion symptoms, lesions persisted. Conclusion: The rectovaginal septum endometriosis with dysmenorrhea, anal fall pain, intercourse pain, chronic pelvic pain, low back pain as the main clinical manifestations, the need for consultation and vaginal ultrasound examination Sanhe. Surgery is the main treatment, laparoscopic vaginal or laparoscopic surgical method should be applied. [Keywords:] recto-vaginal septum Rectovaginal septum endometriosis is a special kind of endometriosis, its etiology, diagnosis and treatment has its specificity, due to lesions deep infiltration wide range of clinical symptoms of heavy, serious impact on women’s quality of life, drug therapy is ineffective, surgery is the treatment of recto-vaginal septum endometriosis the only effective means. 1 Data and methods 1.1 The clinical data from 2002 to 2006 admitted to our hospital maternity rectovaginal septum endometriosis 8 patients, 30 to 48 years, with an average 38-year-old, clinical manifestations of dysmenorrhea, dyspareunia, anal pain and chronic pelvic pain falling , 6 patients with low back pain. Duration of 9 months to 5 years. Sanhe patient examination can reach rectovaginal septum at the hard texture of the mass, diameter of 1 ~ 4cm (1 case diameter of 4cm), fixed, tenderness. Abdominal u