Identification of a group with high risk of postoperative complications after deep bowel endometriosis surgery: a retrospective study on 164 patients

Hugo Gornes, H Gornes, C Vaysse, Charlotte Vaysse, P Leguevaque, Pierre Lèguevaque, Adeline Gallini, A Gallini, B André, Benoît André, P Guerby, Paul Guerby, Sylvain Kirzin, S Kirzin, B Suc, Bertrand Suc, Stéphanie Motton, S Motton, J Rimailho, Ariane Weyl, A Weyl, Élodie Chantalat
Archives of gynecology and obstetrics · 2020 · vol. 302(2) , pp. 383–391 · doi:10.1007/s00404-020-05604-4 · PMID:32500217 · W3033021286
article OA: closed CC0 ⤵ 10 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Segmental resection, vaginal incision, and urinary tract procedures were associated with increased postoperative complications after deep bowel endometriosis surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study assessed 164 patients treated from 2012 to 2018 at Toulouse University Hospital, examining postoperative complications after deep bowel endometriosis surgery and how complications related to surgical management, presence of additional non-digestive procedures, disease progression, and patient characteristics. Postoperative complications occurred in 37.8% of cases and led to secondary surgery in 18.3%. In univariate and multivariate analyses, overall complications were associated with surgical management, with segmental resection showing a particularly strong association (OR 20.87), and rectovaginal fistula risk increased with segmental resection (OR 22.71) and vaginal incision (OR 19.67), with urinary tract procedures also implicated. The main limitation is that the study is retrospective, and the findings are based on analyses from a two-department cohort. This paper is centrally about endometriosis — it identifies risk factors for postoperative complications, including rectovaginal fistula, after deep bowel endometriosis surgery.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Postoperative Complications Rectal Diseases Adult Endometriosis Endometriosis Female Gynecologic Surgical Procedures Humans Postoperative Complications Rectal Diseases Rectal Diseases Retrospective Studies Risk Factors Treatment Outcome

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