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Re: Surgical access to the rectum--Follow-up questionsFrom: Angela (anonymous@obgyn.net)Thu, 11 Feb 1999 16:04:58 -0600 (CST)
><< I'm wondering, when you have an endo implant on the rectum, how does a > surgeon get at it to remove or zap it? Isn't the uterus in the way? > >****** Yes, the uterus may lie in the way, but it is easily movable during the >procedure. > ><< Can he access that area with a laparoscopic approach or is LAPAROTOMY > needed? >******* He can have access to the area. >The Endometriosis is know to implant on the SURFACE of the large intestine >(bowel) but it does not 'eat' through the muscular layers of the bowel.
>Because of this it is possible to destroy the implants with laser or cautery
>Dr. George Thanks Dr. George! I have two follow up questions: 1) Are you saying that bowel perforation is less likely to occur if a surgeon approaches rectal endometriosis via a full abdominal incision? 2) I neglected to ask: if the uterus is enlarged ("10 week size" in my case), is it still possible to move it out of the way?
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