
07/25/2025
Bowel resection is a surgical procedure performed when endometriosis deeply infiltrates the bowel wall, usually affecting the re**um or sigmoid colon. In this operation, a segment of the affected bowel is completely removed, and the two healthy ends are surgically reconnected (anastomosis).
This procedure is indicated when:
- There is full-thickness involvement of the bowel by endometriosis tissue
- Conservative excision techniques (e.g. shaving or disc excision) are inadequate
Surgery is typically performed laparoscopically. A colorectal surgeon removes the affected segment. Anastomosis is done to restore bowel continuity. In some cases, temporary diversion with a stoma may be required to protect the anastomosis and allow healing, especially if the resection is low in the re**um or if there is concern for healing complications.
A multidisciplinary team approach is essential, involving both a gynecologist experienced in endometriosis surgery and a colorectal surgeon. Long-term outcomes show significant improvement in pelvic pain, bowel symptoms, and overall quality of life when the disease is appropriately excised.