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

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Abstract

STUDY OBJECTIVE: To describe the characteristics of patients with colorectal endometriosis and extraserosal pelvic fascia (EPF) involvement and to assess the effect of EPF resection. DESIGN: Prospective cohort study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: Two hundred twenty-seven patients who underwent segmental colorectal resection to treat symptomatic deep infiltrating endometriosis between 2001 and 2011, with or without EPF resection. INTERVENTIONS: Segmental colorectal resection with or without EPF resection. MEASUREMENTS AND MAIN RESULTS: One 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). CONCLUSION: EPF infiltration reflects disease severity in patients with colorectal endometriosis. Its removal affects intraoperative morbidity and leads to a higher rate of voiding dysfunction.

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Condition tags

endometriosis

MeSH descriptors

Colon Endometriosis Fasciotomy Fasciotomy Pelvis Rectum Adult Adult Cohort Studies Cohort Studies Colon Colon Endometriosis Endometriosis Endometriosis Female Female Humans Humans Laparoscopy

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 ]

References (37)

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