Horace Roman

BACKGROUND: Endometriosis is a common benign gynaecological disease that affects pelvic structures and causes adhesions. Endometriosis outside the pelvis exists but is rarer. Deep endometriosis may affect organs such as the urinary bladder,…

Study objectiveTo assess whether the combined vaginal-laparoscopic route may reduce the risk of postoperative bladder atony, when compared to an exclusively laparoscopic approach, in patients presenting with deeply infiltrating rectovaginal…

L’objectif de notre étude est de décrire l’activité chirurgicale et les complications postopératoires d’un centre de chirurgie avec une activité exclusive dédiée à l’endométriose. Étude rétrospective monocentrique analysant des données recu…

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Background: Even though preventive stoma is unlikely to ensure primary healing in women with juxtaposed rectal and vaginal sutures, it may be considered, in selected patients at risk of rectovaginal fistula, to reduce fistula related compli…

ObjectiveDeep endometriosis infiltrating the rectum may be managed by full-thickness disc excision, with the goal of preserving rectal function and avoiding low anterior rectal resection syndrome (Supplemental Appendix 1). Transanal stapler…

Study objectiveTo report the technique of double disk excision of deep endometriosis nodules infiltrating the mid or low rectum and surgical outcomes.DesignA retrospective case series using data prospectively recorded in the North-West Inte…

BACKGROUND: Endometriosis is an often chronic, inflammatory gynaecologic condition affecting 190 million women worldwide. Studies have reported an elevated cancer risk among patients with endometriosis. However, prior research has included …

COVID-19 has led to new obstacles in the care for women with endometriosis. With many centers around the globe temporarily ceasing outpatient appointments, diagnostic imaging for non-acute pelvic pain, surgery for endometriosis, and fertili…

This opinion article is endorsed by the World Endometriosis Society (WES) and the International Federation of Fertility Societies (IFFS)The COVID-19 pandemic has led to a dramatic shift in the clinical practice of women’s health and routine…

AIM: The aim was to assess the functional outcome and quality of life in patients with low and mid rectal endometriosis who have undergone disc excision using a semicircular transanal staple device, a procedure we have named the Rouen techn…

Background: Rectovaginal fistula is a major complication of surgery for deep endometriosis. Objective: To assess whether placement of a biological mesh (Permacol) between the vaginal and rectal sutures reduces the rate of rectovaginal fist…

Research questionAre large ovarian endometriomas associated with high pre-operative anti-Müllerian hormone (AMH) concentrations?DesignData from 332 women who underwent AMH measurement before surgery for endometriosis were prospectively reco…

Évaluer la relation entre le taux de fistule digestive postopératoire et l’expérience du chirurgien. Étude rétrospective. Deux centres. Mille soixante patientes traitées pour une endométriose profonde infiltrant le rectum ou le côlon sigmoï…

INTRODUCTION: There is increasing evidence that intermediate and long-term bowel dysfunction may occur as a consequence of radical surgery for rectal deep endometriosis (DE). Typical symptoms include constipation, feeling of incomplete evac…

STUDY QUESTION: What is the prevalence of laparoscopically nonvisualized palpable satellite bowel nodules at or near the planned stapler site in women undergoing segmental bowel resection for endometriosis? SUMMARY ANSWER: Overall, 13 (25.5…

Oocyte vitrification is an attractive and efficient option in the long-term management of endometriosis patients. Which women would benefit from banked oocytes when pregnancy is attempted, and whether oocyte vitrification should be carried …

IntroductionThe aim of our study is to describe MRI appearance of a posterior rectal pouch (PRP) for patients managed for low rectal endometriosis by large full-thickness disc excision and to assess its relationship with postoperative funct…

Study objectiveTo assess 1-year postoperative outcomes of surgery for deep endometriosis involving the sacral roots and sciatic nerve.DesignRetrospective case series.SettingThree referral centers.PatientsFifty-two women.InterventionsSurgery…

Background: Surgical management of deep endometriosis infiltrating pelvic nerves may allow an overall improvement in pain and neurologic disorders. Objective: To assess 1-year postoperative outcomes of surgery for deep endometriosis involvi…