Rectovaginal endometriosis – analysis of 160 cases.

Ginekologia polska · 2015 · vol. 86(12) , pp. 896–901 · doi:10.17772/gp/59274 · PMID:26995938 · W2428249711
article OA: gold CC0 ⤵ 3 in-corpus citations
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This retrospective analysis of 160 rectovaginal endometriosis cases found that laparoscopic, vaginal, and combined vagino-laparoscopic surgeries are safe and effective for lesion resection with a low complication rate.

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The provided text contains a series of unrelated health snippets regarding folic acid, buckwheat honey, perinatology, vitamin B12, and infant hemangiomas, rather than the content of the titled paper on rectovaginal endometriosis. The title suggests an analysis of 160 cases, but the actual body text consists of general wellness advice and medical introductions that do not address surgical outcomes, patient demographics, or clinical findings related to deep infiltrating endometriosis. Consequently, no specific study results or methodological details can be extracted from the supplied material. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

OBJECTIVES: The aim of the study was a retrospective analysis of the medical records of patients who underwent surgery due to deep infiltrating rectovaginal endometriosis (mainly with the use of the 'shaving' technique). MATERIAL AND METHODS: We analysed 160 cases of patients who underwent surgery due to the deep infiltrating rectovaginal endometriosis in our ward between 2003-2014. Depending on lesion localization, disease severity and clinical characteristics, three possible ways of operation were proposed: laparoscopic, vaginal or a combined vagino-laparoscopic approach. RESULTS: A total of 120 patients underwent laparoscopic removal of the endometrial lesions, whereas 17 were operated vaginally and 23 with the use of the combined approach. Nodule resection was successfully performed in all cases. The combined vagino-laparoscopic operations were characterized by the longest operating time. The rate of perioperative complications was low in the group of patients who underwent laparoscopic or combined operations. The necessity of bowel wall suturing occurred in 15 cases. This procedure was performed in order to strengthen the bowel wall (in cases when no perforation occurred) or due to bowel resection during surgery. Unexpected bowel perforation occurred in only 5 cases. Conclusions: Vaginal, laparoscopic and the combined vagino-laparoscopic surgeries can be safely performed in cases of deep rectovaginal endometriosis.
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Kwas foliowy: dawkowanie, źródła w diecie i objawy niedoboru Kwas foliowy, który powszechnie znany jest jako witamina B9, odgrywa kluczową rolę w moim zdrowiu oraz samopoczuciu. Ponadto, to jedna z tych substanc... Kwas foliowy, który powszechnie znany jest jako witamina B9, odgrywa kluczową rolę w moim zdrowiu oraz samopoczuciu. Ponadto, to jedna z tych substanc... Miód gryczany to prawdziwy skarb natury, który dostarcza nam wielu korzyści w diecie. Nie tylko urzeka intensywnym smakiem, ale także stanowi bogate ź... Perinatolog, jako specjalista, pełni kluczową rolę w zapewnieniu bezpieczeństwa zarówno matce, jak i dziecku podczas ciąży wysokiego ryzyka. Jako gine... Witam serdecznie! Zawsze zastanawiam się, jak istotna dla naszego organizmu jest witamina B12. Odpowiada ona za prawidłowe funkcjonowanie układu nerwo... Od zawsze zdawałam sobie sprawę z ważności dbania o zdrowie, jednak odkąd zgłębiam tajniki zrównoważonej diety, odkryłam, że ... Objawy naczyniaka włośniczkowego u dzieci stanowią temat, który niejedną mamę może zaniepokoić. Te charakterystyczne czerwone... Perinatolog, jako specjalista, pełni kluczową rolę w zapewnieniu bezpieczeństwa zarówno matce, jak i dziecku podczas ciąży wy... Grażyna Patec

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Laparoscopy Rectal Diseases Vaginal Diseases Adult Endometriosis Female Follow-Up Studies Humans Laparoscopy Laparoscopy Middle Aged Poland Postoperative Period Rectal Diseases Rectum Rectum Rectum Retrospective Studies Treatment Outcome

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