Day 5: Congress: Wednesday, November 13, 2019

Bowel-Shaving Endometriosis


Wednesday, November 13, 2019


9:40am – 10:00am


Ballroom B and C


Live Surgery (unedited video)


Assia A. Stepanian, Amanda C. Yunker


Gabriele Centini, Sovicille, Italy


Andrew I. Brill, Mill Valley, CA, Victor Gomel, Vancouver, British Columbia, Canada

Course Description

This course provides a global overview on how to approach posterior compartment endometriosis that can be applied on every case to identify the anatomical structures that must be preserved during this kind of procedure. The video shows a simple case from the initial dissection all the way down to the pouch of Douglas and the uterosacral ligaments. A careful dissection should be performed to separate the organs and to restore the normal anatomy before approaching the nodule on the anterior wall of the rectum. The nodule should be removed with monopolar hook or cold scissor trying to be radical on the disease and conservative toward the function minimizing the risk of postoperative complications.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Describe how to approach posterior compartment endometriosis; 2) Discuss the different surgical technique to approach bowel endometriosis; and 3) Perform a deep endo bowel shaving procedure.