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Fertil Steril. 2009 Apr;91(4 Suppl):1314-5. doi: 10.1016/j.fertnstert.2008.01.101. Epub 2008 Apr 2.

Excision of the posterior vaginal fornix is necessary to ensure complete resection of rectovaginal endometriotic nodules of more than 2 cm in size.

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  • 1CHU Clermont-Ferrand, Polyclinique-Hôtel-Dieu, Gynécologie Obstétriqueet Médecine de la Reproduction, Clermont-Ferrand, France.


The minimum distance between the vaginal mucosal epithelium and the endometriotic glands was <1,000 microm in 30 patients (49.2%), <2,000 microm in 44 patients (72.1%), and <5,000 microm in 60 patients (98.4%). Our findings provided histologic evidence that excision of the posterior vaginal fornix was necessary to completely remove large rectovaginal endometriotic nodules.

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