Surgical management of deep infiltrating endometriosis involving the bowel: A multidisciplinary perspective from a Tertiary Care Center in South India

Chaitra Krishna Bhat
In: International Journal of Clinical Obstetrics and Gynaecology · 2026 · vol. 10(2) , pp. 325–327 · doi:10.33545/gynae.2026.v10.i2e.2065 · W7138963193
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Abstract

Background: Deep infiltrating endometriosis (DIE) involving the bowel is a complex surgical challenge requiring high-level expertise. This study evaluates surgical outcomes and quality-of-life improvements in patients managed via a multidisciplinary approach. Methods: A prospective observational study was conducted at Kanachur Institute of Medical Sciences (January 2023 – December 2024). Fifty-two symptomatic patients underwent laparoscopic management (shaving, disc excision, or segmental resection). Pain was assessed using Visual Analogue Scale (VAS) scores. Results: Segmental resection was required in 30.8% of cases. Post-operative VAS scores for dyschezia dropped from 8.4±1.2 to 2.1±0.8 (p<0.001). Minor complications occurred in 11.5% of cases. Conclusion: Multidisciplinary surgical intervention provides significant symptomatic relief with manageable morbidity.
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Abstract

Background: Deep infiltrating endometriosis (DIE) involving the bowel is a complex surgical challenge requiring high-level expertise. This study evaluates surgical outcomes and quality-of-life improvements in patients managed via a multidisciplinary approach.

Methods

A prospective observational study was conducted at Kanachur Institute of Medical Sciences (January 2023 – December 2024). Fifty-two symptomatic patients underwent laparoscopic management (shaving, disc excision, or segmental resection). Pain was assessed using Visual Analogue Scale (VAS) scores.

Results

Segmental resection was required in 30.8% of cases. Post-operative VAS scores for dyschezia dropped from 8.4±1.2 to 2.1±0.8 (p<0.001). Minor complications occurred in 11.5% of cases.

Conclusion

Multidisciplinary surgical intervention provides significant symptomatic relief with manageable morbidity.Pages: 325-327 | 393 Views | 171 Downloads Download Full Article: Click Here How to cite this article: Chaitra Krishna Bhat. Surgical management of deep infiltrating endometriosis involving the bowel: A multidisciplinary perspective from a Tertiary Care Center in South India. Int J Clin Obstet Gynaecol 2026;10(2):325-327. DOI: 10.33545/gynae.2026.v10.i2e.2065

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Outcome instruments

VAS-pain

Condition tags

endometriosisdie_deep_infiltrating

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