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The Medical and Surgical Practice of NaProTECHNOLOGY, 975-1000, 2004

Chapter 72: PEARS for Bowel Endometriosis: Surgical Techniques for the General Surgeon

Thomas W Hilgers

Author affiliations
  • Pope Paul VI Institute for the Study of Human Reproduction, Omaha, Nebraska. ROR
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Abstract

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.

Topics

bowel endometriosis surgerydeep infiltrating endometriosis excisionrectosigmoid endometriosis resectionstapled bowel anastomosis techniqueanterior rectum nodule enucleationcolorectal surgeon endometriosis team
bowel endometriosis surgery, deep infiltrating endometriosis bowel resection, can endometriosis be removed from the rectum without colostomy, does removing bowel endometriosis improve fertility, rectosigmoid endometriosis excision, anterior rectum endometriosis nodule removal, colorectal surgeon endometriosis team approach, stapled anastomosis bowel endometriosis

Cite this article

Hilgers, T. W. (2004). Chapter 72: PEARS for Bowel Endometriosis: Surgical Techniques for the General Surgeon. The Medical and Surgical Practice of NaProTECHNOLOGY, 975-1000.

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EndometriosisBowel endometriosisExcision surgeryPEARS

Chapter 71: PEARS for Bowel Endometriosis: Surgical Techniques for the Gynecologist

Hilgers TW, 2004The Medical and Surgical Practice of NaProTECHNOLOGY

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.

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Chapter 15: Scientific Foundations of the CrMS

Hilgers TW, 2004The Medical and Surgical Practice of NaProTECHNOLOGY

The CREIGHTON MODEL FertilityCare System (CrMS) rests on a decades-long body of research demonstrating that cervical mucus functions as a physiologically regulated biological valve, opening predictably at the periovulatory estrogen rise and closing in the post-Peak phase. Chapter 15 of Hilgers (2004) synthesizes hormonal, ultrasound, cytologic, and biophysical evidence to establish that a woman's external observation of her Peak Day reliably identifies the fertile window, and documents the system's effectiveness data for both achieving and avoiding pregnancy across a five-study meta-analysis of nearly 1,900 couples.

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