“…It is likely that bowel resection and reanastomosis leaves behind less microscopic disease (Remorgida et al, 2005;Roman et al, 2009), possibly resulting in lower recurrence rates (Stepniewska et al, 2009;Meuleman et al, 2011) when compared with simple resection of a fibrotic bowel nodule because bowel endometriosis, rather than having the shape of a plaque, may follow the enteric nervous system (Anaf et al, 2004), may spread laterally to the point of serosal invasion (Remorgida et al, 2005) and has a multifocal and multicentric nature (Redwine and Wright, 2001;Kavallaris et al, 2003;Keckstein and Wiesinger, 2005;Remorgida et al, 2007). On the other hand, even where rectal segmental resection is performed, endometriotic foci may be found on and outside the limits of the digestive resection, as we (Meuleman et al, 2009) and others (Roman et al, 2009) have shown.…”