End-to-end versus side-to-end anastomosis after bowel resection for deep infiltrating endometriosis: A retrospective study

Pontrelli G, Giovanni Pontrelli, Cristiano Huscher, Huscher C, Marco Scioscia, Scioscia M, Brusca F, Federica Brusca, Tedeschi U, Umberto Tedeschi, Pantaleo Greco, Greco P, Mancarella M, Matteo Mancarella, Nicoletta Biglia, Lorenzo Novara, Novara L
Journal of gynecology obstetrics and human reproduction · 2022 · vol. 51(10) , pp. 102472 · doi:10.1016/j.jogoh.2022.102472 · PMID:36087927 · W4294883960
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This study compared side-to-end and end-to-end anastomoses after bowel resection for deep infiltrating endometriosis, finding no significant differences in post-operative complications or functional outcomes.

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Abstract

OBJECTIVE: Deep infiltrating endometriosis(DIE) of the bowel may require segmental bowel resection. The subsequent reconstruction can be performed through an end-to-end(E-E) or a side-to-end (S-E)anastomosis, the latter being used in low resection due to the reduced risk of anastomotic leakage. This study aims at comparing those two anastomosis techniques in women submitted to bowel resection for DIE, in terms of post-operative morbidity and functional outcomes. METHODS: This was a single-center retrospective study on women undergoing laparoscopic rectal resection for deep infiltrating endometriosis with subsequent E-E or S-E anastomosis performed according to the level of rectal resection. The two groups were compared for postoperative complication rates and functional outcomes by means of validated questionnaires. RESULTS: The study population included 30 patients undergoing a S-E anastomosis (group A), and 49 cases undergoing an E-E anastomosis (group B). No differences were found between the two groups in terms of length of hospital stay, anastomotic leakages, protective ileostomies and short-term complications. At follow up no differences were found between the two groups in terms of bowel function and pain symptoms. CONCLUSIONS: A S-E anastomosis in case of low rectal resections for DIE presents similar complication rates and functional outcomes compared with an E-E anastomosis.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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 (29)

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