Laparoscopic rectal resection of deep infiltrating endometriosis

Franc Jelenc, Jelenc F, Martina Ribič-Pucelj, Ribič-Pucelj M, Robert Juvan, Juvan R, Borut Kobal, Kobal B, Jasna Šinkovec, Jasna Sinkovec, Sinkovec J, Salamun V, Vesna Salamun, Vesna Šalamun
Journal of laparoendoscopic & advanced surgical techniques. Part A · 2011 · vol. 22(1) , pp. 66–69 · doi:10.1089/lap.2011.0307 · PMID:22166117 · W2021533949
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This study analyzed 56 laparoscopic rectal resections for deep infiltrating endometriosis, finding it to be a safe procedure with few complications when performed by experienced surgeons.

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Abstract

PURPOSE: Deep infiltrating endometriosis with colorectal involvement is a complex disorder, often requiring segmental bowel resection. Complete removal of all visible lesions is considered the adequate treatment of infiltrating endometriosis in order to reduce recurrence. In this article, we describe our experience with laparoscopic management of deep infiltrating endometriosis with involvement of the rectum. METHODS: A retrospective analysis of data from patients with deep infiltrating endometriosis with rectal involvement who underwent a laparoscopic surgery in the years 2002-2009 at the Department of Obstetrics and Gynecology at our institution was done. RESULTS: Between 2002 and 2009, a laparoscopic partial rectal resection was performed in 52 patients, and laparoscopic disk resection was performed in 4 cases with deep infiltrating endometriosis. The mean age of patients was 34.4 years (range, 22-62 years). Preoperative symptoms included dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility. The laparoscopic procedure was converted to formal laparotomy in 3 patients (5.4%). The mean duration of surgery was 145 minutes. Postoperative complications included 3 cases of anastomotic leakage with rectovaginal fistula in two cases and intraabdominal bleeding in 1 case. The mean hospital stay was 7 days. Postoperatively, nine patients had a normal delivery, two of them after in vitro fertilization treatment. CONCLUSION: Laparoscopic rectal resection for deep infiltrating endometriosis is a relatively safe procedure, when performed by a surgeon and a gynecologist with sufficient experience in laparoscopic colorectal surgery.

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Condition tags

endometriosisdie_deep_infiltratingchronic_pelvic_paindysmenorrheadyspareuniainfertility

MeSH descriptors

Digestive System Surgical Procedures Endometriosis Laparoscopy Rectal Diseases Adult Adult Digestive System Surgical Procedures Digestive System Surgical Procedures Endometriosis Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy Middle Aged Middle Aged Rectal Diseases

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 (27)

Cited by (29)

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License: CC0 · commercial use OK