Long-Term Follow-Up of Patients Undergoing Surgical Treatment of Bowel Endometriosis
Surgical treatment for bowel endometriosis, whether conservative or radical, provides comparable long-term outcomes for organ function, pain, and recurrence, with significant and lasting improvements in quality of life and fertility.
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This paper reviews long-term outcomes after surgical management of bowel deep infiltrating endometriosis, comparing conservative approaches (shaving or disc excision) with radical approaches (segmental colorectal resection). Across these surgical strategies, the authors report comparable long-term organ function, pain outcomes, and recurrence rates, along with significant and lasting quality-of-life improvement and clinical improvement in many patients, with the majority of pregnancies occurring spontaneously. The chapter notes that outcomes appear similar regardless of technique, but the evidence is presented at a narrative/chapter level rather than as a single new trial, which limits specificity about patient selection and effect sizes. This paper is centrally about endometriosis — it focuses on long-term follow-up of patients undergoing surgery for bowel deep infiltrating endometriosis.
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