Conservative approach to rectosigmoid endometriosis: a cohort study

Anne Gisselmann Egekvist, Edvard Marinovskij, Axel Forman, Ulrik Schiøler Kesmodel, Mads Riiskjær, Riiskjaer M, Mads Riiskjaer, Mikkel Seyer-Hansen, Mikkel Seyer‐Hansen, Seyer-Hansen M
Acta obstetricia et gynecologica Scandinavica · 2017 · vol. 96(6) , pp. 745–750 · doi:10.1111/aogs.13094 · PMID:28084035 · W2575570299
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This cohort study found that in a tertiary referral center, over 80% of rectosigmoid endometriosis patients initially managed conservatively avoided surgery, with younger patients more likely to undergo primary or secondary surgery.

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Abstract

INTRODUCTION: The aim of the study was to assess the risk of surgery after initial conservative treatment of rectosigmoid endometriosis in relation to demographic data. MATERIAL AND METHODS: The study was conducted on the tertiary endometriosis referral unit, Aarhus University Hospital. Medical records, from patients seen from January 2009 onwards with a diagnosis of rectosigmoid endometriosis and more than 6 months' follow up were audited. Demographic data, results of magnetic resonance imaging and time to secondary surgery for rectosigmoid endometriosis were registered. RESULTS: Data on 238 patients diagnosed with rectosigmoid endometriosis were included. In all, 78 (32.8%) patients had primary surgery, 27 (11.3%) had secondary surgery and 133 (55.9%) continued conservative treatment throughout the observation period. Patients who underwent primary or secondary surgery were younger than patients continuing conservative treatment. CONCLUSIONS: In a tertiary referral center where about half of patients with rectosigmoid endometriosis were scheduled for conservative treatment, more than 80% of these avoided surgery.

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Condition tags

endometriosis

MeSH descriptors

Conservative Treatment Conservative Treatment Endometriosis Intestinal Obstruction Sigmoid Diseases Age Factors Age Factors Cohort Studies Cohort Studies Endometriosis Endometriosis Endometriosis Female Female Humans Humans Intestinal Obstruction Intestinal Obstruction Intestinal Obstruction Retrospective Studies

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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Cited by (13)

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