Surgical Treatment Experience of Intestinal Endometriosis.

Study Design: Retrospective descriptive cohort. Population: Patients who underwent endometriosis resection with colorectal intervention between January 2019 and December 2023. A total of 36 patients met the inclusion criteria at San José Hospital, Bogotá, Colombia. Objectives: To describe the demographic and clinical characteristics, surgical procedures, and intra- and postoperative complications. Main Results: Ten patients (27.7%) presented gastrointestinal symptoms that were not associated with lesion size. Six patients (16.6%) had positive findings on physical examination, whereas abnormal imaging results were documented in 25 patients (69.4%). Lesions were most frequently located in the rectum (91.6%), followed by the sigmoid colon, appendix, and cecum. More than half of the lesions (52%) measured less than 3 cm. The intraoperative complication rate was 13.9%, and postoperative complications occurred in 16.7% of cases. Conclusion: The management of intestinal endometriosis requires a multidisciplinary approach involving expert gynecological endoscopists in collaboration with colorectal surgeons to minimize complications. Our findings highlight the importance of individualized surgical strategies, with a focus on fertility preservation whenever possible.