Surgical and Clinical Impact of Extraserosal Pelvic Fascia Removal in Segmental Colorectal Resection for Endometriosis

Marcos Ballester, Ballester M, Belghiti J, J. Belghiti, Jérémie Belghiti, Zilberman S, Sonia Zilberman, Anne Thomin, Thomin A, Claire Bonneau, Bonneau C, Marc Bazot, Bazot M, Isabelle Thomassin-Naggara, Isabelle Thomassin‐Naggara, Thomassin-Naggara I, Émile Daraï, Emile Daraï, Daraï E
Journal of Minimally Invasive Gynecology · 2014 · vol. 21(6) , pp. 1041–1048 · doi:10.1016/j.jmig.2014.04.018 · PMID:24858943 · W2080968470
article OA: closed CC0 ⤵ 14 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study investigated the surgical and clinical impact of removing extraserosal pelvic fascia during segmental colorectal resection for endometriosis.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Study objectiveTo describe the characteristics of patients with colorectal endometriosis and extraserosal pelvic fascia (EPF) involvement and to assess the effect of EPF resection.DesignProspective cohort study (Canadian Task Force classification II-2).SettingUniversity hospital.PatientsTwo hundred twenty-seven patients who underwent segmental colorectal resection to treat symptomatic deep infiltrating endometriosis between 2001 and 2011, with or without EPF resection.InterventionsSegmental colorectal resection with or without EPF resection.Measurements and main resultsOne hundred twelve patients (49.4%) required EPF resection. In these patients the total American Society for Reproductive Medicine endometriosis scores were higher (p = .004), there were more associated resected lesions of deep infiltrating endometriosis (p <.001), and the operative time was longer (p <.001). They were more likely to require blood transfusion (p = .003) and to experience intraoperative complications (p = .01) and postoperative voiding dysfunction (p = .04).ConclusionEPF infiltration reflects disease severity in patients with colorectal endometriosis. Its removal affects intraoperative morbidity and leads to a higher rate of voiding dysfunction.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Colon Endometriosis Fasciotomy Pelvis Rectum Adult Cohort Studies Colon Endometriosis Endometriosis Female Humans Laparoscopy Middle Aged Operative Time Pelvis Prognosis Rectum Young Adult

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (37)

Cited by (15)

Source provenance

europepmc
last seen: 2026-08-03T06:10:56.557307+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:18:29.016410+00:00
unpaywall
last seen: 2026-08-03T06:41:53.707437+00:00
License: CC0 · commercial use OK