Does laparoscopic shaving for deep infiltrating endometriosis alter intestinal function? A prospective study

Renato Seracchioli, Ferrini G, Giulia Ferrini, Montanari G, Giulia Montanari, Diego Raimondo, Spagnolo E, Emanuela Spagnolo, Nadine Di Donato, Di Donato N
The Australian & New Zealand journal of obstetrics & gynaecology · 2015 · vol. 55(4) , pp. 357–362 · doi:10.1111/ajo.12358 · PMID:26201679 · W1554228382
Non-randomised trial OA: closed CC0 ⤵ 30 in-corpus citations
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Laparoscopic shaving of rectosigmoid endometriosis improved constipation, urgency, and bowel movements without altering intestinal neurological function or causing incontinence at six months post-surgery.

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Abstract

BACKGROUND: 5-12% of deep infiltrating endometriosis involves the digestive tract, especially the distal sigmoid colon and rectum. Bowel endometriosis surgery may be associated with neurological complications. AIM: The aim of this study was to objectively evaluate whether excision of rectosigmoid deep infiltrating endometriosis by shaving technique alters intestinal and defecatory function at 6-months post-surgery. MATERIALS AND METHODS: Nineteen women were enrolled in our tertiary care university hospital. They were affected by rectosigmoid endometriosis and underwent laparoscopic shaving excision of the nodule. Anorectal manometry was performed prior to and after surgery. The parameters studied were resting pressure, maximum squeezing pressure, pushing, rectoanal inhibitory reflex and rectal sensibility. The women completed a defecatory function questionnaire and ranked pain symptoms using a visual analogue scale. RESULTS: After surgery, no alteration of rectoanal inhibitory reflex was found. The tone of the internal anal sphincter was not significantly different before and after surgery. The defecatory function questionnaire revealed a significant improvement in constipation, urgency, bowel movements and anal eczema. No cases of incontinence were described. CONCLUSIONS: This report of the objective assessment of neurological intestinal alterations after rectal shaving of endometriotic nodules suggests the laparoscopic shaving technique preserves intestinal neurological activity.

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Condition tags

endometriosisdie_deep_infiltratingbowel_endometriosis

MeSH descriptors

Anal Canal Defecation Endometriosis Laparoscopy Rectal Diseases Sigmoid Diseases Adult Adult Anal Canal Anal Canal Constipation Constipation Constipation Defecation Defecation Endometriosis Endometriosis Endometriosis Female Female

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 (28)

Cited by (31)

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