Surgical treatment of symptomatic colorectal endometriosis

C Coronado, César Coronado, Coronado C, Franklin RR, Robert R. Franklin, R R Franklin, E C Lotze, Eberhard C. Lotze, Lotze EC, Bailey HR, H. Randolph Bailey, H R Bailey, C T Valdés, Cecilia T. Valdés, Valdés CT
Fertility and Sterility · 1990 · vol. 53(3) , pp. 411–416 · doi:10.1016/s0015-0282(16)53332-9 · PMID:2307243 · W202340225
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This paper investigates the surgical treatment of endometriosis affecting the colon and rectum, focusing on patient outcomes and management strategies.

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Abstract

The approach to the treatment of bowel endometriosis has varied greatly. In this paper we present 77 consecutive patients with deep colorectal endometriosis treated with a full-thickness resection. Gynecologic procedures included conservative laparotomies for preserving fertility (39 patients); hysterectomy with bilateral salpingo-oophorectomy (29 patients); bilateral salpingo-oophorectomy (2 patients); left salpingo-oophorectomy (1 patient) and resection of pelvic endometriosis in patients with previous ablative surgery (6 patients). A low anterior bowel resection was performed in 68 patients (88.3%); a disc excision of the anterior rectal wall in 5 (6.5%); sigmoid resection in 3 (3.9%), and partial cecal resection in 1 (1.3%). The postoperative febrile morbidity was 10.4%, with no apparent anastomotic leaks. Of 33 patients who attempted to conceive postoperatively, 13 achieved a term pregnancy (39.4%). Complete relief of pelvic symptoms was obtained in 38 patients (49.4%); improvement in 30 (39%); no improvement in 8 (10.4%); and worsening of symptoms in 1 (1.2%). There has been no recurrence of symptomatic bowel endometriosis during 1 to 9 years of follow-up. Full-thickness resection of the colon for the treatment of deep bowel endometriosis is a safe procedure with low morbidity, good postoperative relief of symptoms, and favorable pregnancy rates.

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Condition tags

endometriosis

MeSH descriptors

Colorectal Neoplasms Endometriosis Adult Colon Colon Colon Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Female Humans Middle Aged Postoperative Period Pregnancy Pregnancy Outcome Rectum Rectum Rectum

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (24)

Cited by (50)

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License: CC0 · commercial use OK