Deep infiltrating endometriosis involving the rectosigmoid, appendix, and small bowel is addressed through gynecologist-performed PEARS techniques that include superficial disc excision, appendectomy, and coordinated bowel resection when full-thickness involvement requires it. Recognition of intestinal endometriosis at laparoscopy and command of the relevant surgical steps allow the NaProTECHNOLOGY surgeon to treat the complete disease burden in a single operative setting.
bowel endometriosis surgery, endometriosis on rectum and colon, can a gynecologist remove bowel endometriosis, appendix endometriosis removal, rectosigmoid endometriosis excision, terminal ileum endometriosis, when does bowel endometriosis need a colorectal surgeon, endometriosis bowel involvement pain and infertility
Hilgers et al. 2004, Hilgers 2004
Cite this article
Hilgers, T. W. (2004). Chapter 71: PEARS for Bowel Endometriosis: Surgical Techniques for the Gynecologist. The Medical and Surgical Practice of NaProTECHNOLOGY, 965-974.
Hilgers TW. Chapter 71: PEARS for Bowel Endometriosis: Surgical Techniques for the Gynecologist. The Medical and Surgical Practice of NaProTECHNOLOGY. 2004:965-974.
Hilgers, T. W. "Chapter 71: PEARS for Bowel Endometriosis: Surgical Techniques for the Gynecologist." The Medical and Surgical Practice of NaProTECHNOLOGY, 2004, pp. 965-974.
Hilgers TW, 2004·The Medical and Surgical Practice of NaProTECHNOLOGY
Bowel endometriosis involving the rectosigmoid, appendix, and small intestine requires specialized resection and repair techniques that fall within the competency of a general surgeon collaborating with the NaProTECHNOLOGY surgical team. Addressing bowel involvement is essential to achieving complete excision of endometriotic disease, which underpins the PEARS philosophy of restoring normal pelvic anatomy and maximizing reproductive potential.
Chapron C et al., 1997·J Gynecol Obstet Biol Reprod (Paris)
The goal of this study is to assess the efficiency of laparoscopic surgical treatment of pain for patients presenting deep endometriosis located on the uterosacral ligaments. We analysed a continuous series of 36 patients treated by operative laparoscopy between January 1993 and April 1995. In all these cases treatment consisted of resection of all the uterosacral ligament(s) together with exeresis of all other endometriotic lesions. The results were assessed for all the patients with a minimum follow-up of one year. Patients who presented dysmenorrhea (29 cases) improved in 89.7% of cases (26 patients). Out of the 26 patients who presented deep dyspareunia, improvement was evident for 92.3% of cases (24 patients). The chronic pelvic pain suffered (17 cases) improved in 88.2% of cases (15 patients). Patients who benefited from an improvement rated it excellent or satisfactory in 80% of cases. These results demonstrate that provided the surgeon is highly skilled in laparoscopy, operative laparoscopy is efficient for the treatment of patients presenting painful symptoms related to deep endometriotic implants located on the uterosacral ligaments.
Hilgers TW, 2004·The Medical and Surgical Practice of NaProTECHNOLOGY
Male infertility plays a clinically significant role in a large share of couples who struggle to conceive, yet standard laboratory criteria for semen analysis were designed primarily to predict success with assisted reproduction, not natural fertility. NaProTECHNOLOGY approaches male factor as a diagnosable condition with identifiable root causes, applying medical and surgical options aimed at restoring sperm function and combining that work with fertility-awareness charting to maximize the couple's chances of natural conception.
Hilgers TW, 2004·The Medical and Surgical Practice of NaProTECHNOLOGY
Preterm birth remains a leading cause of perinatal mortality, with rates in the United States rising significantly over the latter half of the twentieth century despite decades of awareness. NaProTechnology's integrated prevention approach, developed at the Pope Paul VI Institute, addresses this problem through systematic risk stratification, hormonal support, infection surveillance, and cervical monitoring across the full course of pregnancy.