Discoid or segmental rectosigmoid resection for deep infiltrating endometriosis: a case-control study

Francesco Fanfani, Anna Fagotti, Fagotti A, Maria Lucia Gagliardi, Gagliardi ML, Ruffo G, Giacomo Ruffo, Marcello Ceccaroni, Giovanni Scambia, Luca Minelli, Minelli L
Fertility and sterility · 2009 · vol. 94(2) , pp. 444–449 · doi:10.1016/j.fertnstert.2009.03.066 · PMID:19394600 · W2036747626
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This case-control study compared discoid and segmental rectosigmoid resection techniques for treating deep infiltrating endometriosis.

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Abstract

OBJECTIVE: To evaluate the efficacy of discoid resection for the treatment of deep infiltrating endometriosis and whether it could be considered to be a valid alternative to the rectosigmoid segmental resection. DESIGN: Case-control study. SETTING: Departments of Obstetrics and Gynecology, Ospedale Sacro Cuore of Negrar, Verona, and Catholic University of the Sacred Heart, Rome, Italy. PATIENT(S): Women with deep infiltrating and intestinal endometriosis divided into study group (48 patients) and control group (88 patients). INTERVENTION(S): All patients underwent laparoscopic endometriosis excision plus discoid rectosigmoid resection (study group) or segmental resection (control group). MAIN OUTCOME MEASURE(S): Short- and long-term outcomes. RESULT(S): In the study group, median operating time was 200 minutes, with a median estimated blood loss of 203 mL. Median ileus was 3 days with a median postoperative hospitalization of 7 days. Early complications were observed in six patients (12.5%), and in two of them (4.16%) a surgical management was necessary. Median follow-up period was 33 months, and five recurrences (10.4%) were registered. In the control group, no significant differences were noticed except for longer operative time, more temporary ileostomy, postoperative fever, and long-term bladder dysfunctions. CONCLUSION(S): Laparoscopic mechanical discoid resection is feasible, markedly improved endometriosis related symptoms, and could be considered as a worthy alternative to classic segmental resection in selected patients.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Colectomy Endometriosis Laparoscopy Rectal Diseases Sigmoid Diseases Adult Adult Algorithms Algorithms Case-Control Studies Case-Control Studies Colectomy Colectomy Endometriosis Endometriosis Female Female Humans Humans Ileostomy

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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 (33)

Cited by (50)

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