Mesentery-Preserving Hand-Sewn Anastomosis for Rectal Endometriosis: A Nerve-Sparing Laparoscopic Technique.

OBJECTIVE

To describe a mesentery-preserving, nerve-sparing laparoscopic technique for rectal endometriosis.

DESIGN

Retrospective cohort study.

SETTING

Single centre.

POPULATION OR SAMPLE: Women requiring bowel resection for rectal endometriosis.

METHODS

Full-thickness anterior lesion excision and mesorectum-preserving limited posterior resection with hand-sewn anastomosis, compared with conventional stapled resection.

MAIN OUTCOME MEASURES: Anastomotic integrity and 12-month functional outcomes.

RESULTS

The technique safely preserves neurovascular structures. Initial proof-of-concept data confirm surgical feasibility.

CONCLUSIONS

This approach is feasible and hypothesis-generating, supporting future prospective trials.