Long-term follow-up and recurrence rate after mesorectum-sparing bowel resection among women with rectovaginal endometriosis

Mangler M, Mandy Mangler, Julia Herbstleb, Herbstleb J, Sylvia Mechsner, Julia Bartley, Bartley J, Schneider A, Achim Schneider, Köhler C, Christhardt Köhler
International Journal of Gynecology & Obstetrics · 2014 · vol. 125(3) , pp. 266–269 · doi:10.1016/j.ijgo.2013.12.010 · PMID:24726619 · W2017299170
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This study evaluated 110 women with rectovaginal endometriosis treated with a nerve-sparing vaginal-abdominal approach, finding no rectovaginal septum recurrence after a median 64-month follow-up and 0% long-term complications.

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Abstract

OBJECTIVE: To demonstrate the quality of a combined vaginal-abdominal surgical approach to rectovaginal endometriosis by analyzing long-term outcome and recurrence rates. METHODS: In a prospective cohort study in Berlin, Germany, women with endometriosis of the rectovaginal septum were enrolled between September 2004 and December 2012. Bowel infiltration was verified intraoperatively and treated by a nerve-sparing, mesentery-preserving vaginal-abdominal operative approach. Operative results were evaluated by assessing short- and long-term complications and recurrence rates. RESULTS: During the study period, 110 women underwent surgery. For 71 (64.5%) patients, bowel infiltration was confirmed intraoperatively. Overall, 15% of the patients had peri- or postoperative complications. No long-term complications occurred. After a median follow-up of 64 months, no recurrence in the rectovaginal septum was observed among the study patients. The recurrence of pelvic endometriosis was 15%. CONCLUSION: The surgical nerve-sparing approach to rectovaginal endometriosis was confirmed to facilitate precise diagnosis and treatment with minimal morbidity and a long-term complication rate of 0%.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Rectal Diseases Vaginal Diseases Adult Adult Berlin Berlin Cohort Studies Cohort Studies Endometriosis Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Humans Humans Middle Aged

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (25)

Cited by (16)

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