Medium to long‐term gastrointestinal outcomes following disc resection of the rectum for treatment of endometriosis using a validated scoring questionnaire

Ada Ng, Ada Xinhui Ng, Phillip F. Yang, Phillip Yang, Shing Wai Wong, Shing Wong, Thierry G. Vancaillie, Thierry Vancaillie, Surya Krishnan
The Australian & New Zealand journal of obstetrics & gynaecology · 2016 · vol. 56(4) , pp. 408–413 · doi:10.1111/ajo.12476 · PMID:27297610 · W2437047059
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Abstract

OBJECTIVE: To assess the gastrointestinal functional outcomes and symptoms of low anterior resection syndrome after disc resection for deeply infiltrative endometriosis (DIE) using a validated scoring system. DESIGN: Retrospective study to assess the gastrointestinal functional outcomes after rectal disc resection for DIE using a validated scoring system. SETTING: University tertiary referral centre. PATIENTS: Women who underwent disc resection for endometriosis at Royal Hospital for Women and Prince of Wales Private Hospital between January 2012 and December 2013 were included. MAIN OUTCOME MEASURE: Low anterior resection syndrome (LARS) score using a validated questionnaire. RESULTS: Forty-one women met the inclusion criteria. The mean age was 40 ± 10 years (range 22-75 years). All procedures were performed laparoscopically. Eleven women (27%) underwent a hysterectomy in addition to rectal disc resection and endometriosis surgery. Mean operative time for the entire cohort was 158 ± 64 minutes, and mean length of hospital stay was 5 ± 2 days. Completed questionnaires were received from 31 women, a response rate of 76%. The mean length of follow-up was 17 ± 10 months (range 3-34 months). The LARS scores ranged from 0 to 34 (median 15, interquartile range 0-24). Eight women (26%) had a LARS score of 0. Nineteen women (61%) had a LARS score less than 21 (the threshold for LARS). CONCLUSION: Conservative treatment of DIE with rectal disc resection is safe and feasible and is associated with mild gastrointestinal dysfunction in the medium to long term.

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Condition tags

mesh:D004715endometriosisdie_deep_infiltrating

MeSH descriptors

Defecation Endometriosis Postoperative Complications Rectal Diseases Surveys and Questionnaires Adult Aged Constipation Constipation Endometriosis Endometriosis Female Follow-Up Studies Humans Middle Aged Postoperative Complications Postoperative Complications Rectal Diseases Rectal Diseases Retrospective Studies

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