Film Session Q&A 2 : 07 ; Laparoscopic Shaving Surgery of Endometriotic Nodule on Anterior Rectal Wall = Film Session Q&A 2 : 07 ; Laparoscopic Shaving Surgery of Endometriotic Nodule on Anterior Rectal Wall

국문 초록 (Abstract)

목적: Demonstrate a new instrument, technique or procedure 방법: Introduction: The aim of the video article is to report a surgical technique of laparoscopic shaving surgery of endometriotic nodule on anterior rectal wall. Methods: The procedure was performed in a 35 year-old Korean primipara with right ovarian endometrioma, who had been suffered from severe dysmenorrhea and dyspareunia for a couple of years. 결과: Results: The first step of the procedure is represented by laparoscopic identification of bilateral ureters and performing ureterolysis using a harmonic scalpel. Then, Left peritonectomy was done from the left infundibulopelvic ligament level to the left uterosacral ligament. The uterosacral ligaments are preserved in terms of hypogastric nerve plexus. We performed laparoscopic shaving surgery of endometriotic nodule by dissecting the line between endometriotic nodule and subserosal fat layer of the rectum using a harmonic shears and dissecting metzembaum with monopolar coagulator. At this time, transanal finger manipulation would be helpful to identify bowel layers during the surgery. The patient`s postoperative course was uneventful and her symptoms were completely relieved after the surgery. 결론: Conclusion: Based on our experience, we propose conservative laparoscopic shaving surgery of endometriotic nodule is feasible and avoids the risk of unfavorable outcomes related to low colorectal resection.