Mesentery‐Preserving Hand‐Sewn Anastomosis for Rectal Endometriosis: A Nerve‐Sparing Laparoscopic Technique

Objective To describe a mesentery‐preserving, nerve‐sparing laparoscopic technique for rectal endometriosis. Design Retrospective cohort study. Setting Single centre. Population or Sample Women requiring bowel resection for rectal endometriosis. Methods Full‐thickness anterior lesion excision and mesorectum‐preserving limited posterior resection with hand‐sewn anastomosis, compared with conventional stapled resection. Main Outcome Measures Anastomotic integrity and 12‐month functional outcomes. Results The technique safely preserves neurovascular structures. Initial proof‐of‐concept data confirm surgical feasibility. Conclusions This approach is feasible and hypothesis‐generating, supporting future prospective trials.