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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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.
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