Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum Horace Roman, M.D.,

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Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum Horace Roman, M.D., Ph.D., Maud Vassilieff, M.D., Jean Jacques Tuech, M.D., Ph.D., Emmanuel Huet, M.D., Guillaume Savoye, M.D., Ph.D., Loïc Marpeau, M.D., Lucian Puscasiu, M.D., Ph.D. Fertility and Sterility Volume 99, Issue 6, Pages 1695-1704.e6 (May 2013) DOI: 10.1016/j.fertnstert.2013.01.131 Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 1 Preoperative assessment using MRI revealing on contact a deep infiltrating endometriosis nodule with an obvious increase in rectal wall thickness. Fertility and Sterility 2013 99, 1695-1704.e6DOI: (10.1016/j.fertnstert.2013.01.131) Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 2 Endorectal ultrasound revealing a deep endometriosis nodule involving the muscular layer of the rectum. Fertility and Sterility 2013 99, 1695-1704.e6DOI: (10.1016/j.fertnstert.2013.01.131) Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 3 Computed tomography–based virtual colonoscopy revealing rectal stenosis due to deep endometriosis nodule infiltrating the rectum (yellow arrows indicate indentation on the anterior rectal wall due to rectal infiltration). Fertility and Sterility 2013 99, 1695-1704.e6DOI: (10.1016/j.fertnstert.2013.01.131) Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 4 Histologic analysis of a specimen of small-bowel endometriosis. Fertility and Sterility 2013 99, 1695-1704.e6DOI: (10.1016/j.fertnstert.2013.01.131) Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 5 Uterus affected by severe adenomyosis along with a deep retrocervical and vaginal endometriosis nodule. Fertility and Sterility 2013 99, 1695-1704.e6DOI: (10.1016/j.fertnstert.2013.01.131) Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 6 ENDORE randomized trial criteria include the presence of rectal nodules involving at least the muscular layer but not more than 50% of rectal circumference (A). Rectal infiltration should also involve an area >20 mm, up to a height of 15 cm from the rectum (B). Fertility and Sterility 2013 99, 1695-1704.e6DOI: (10.1016/j.fertnstert.2013.01.131) Copyright © 2013 American Society for Reproductive Medicine Terms and Conditions