Surgical treatment of symptomatic rectosigmoid endometriosis.
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Surgical treatment for rectosigmoid endometriosis, involving hysterectomy or oophorectomy and bowel resection, successfully relieved symptoms in 64% of patients after conservative treatment failed.
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Abstract
OBJECTIVE: To assess the results of surgical treatment of symptomatic intestinal endometriosis. DESIGN: Retrospective study. SETTING: University hospital, The Netherlands. SUBJECTS: 14 patients in whom medical treatment had failed. INTERVENTIONS: Hysterectomy (n = 5), salpingo-oophorectomy (n = 8, bilateral in 5), posterior vaginal wall excision (n = 14), and partial resection (n = 6) or anterior wedge excision (n = 8) of the rectum. MAIN OUTCOME MEASURES: Blood loss, operating time, morbidity, and relief of symptoms. RESULTS: 9 patients became symptom free (64%), 5 of whom developed postmenopausal symptoms later on. 2 had unrelated vague abdominal symptoms and 3 more could not be assessed because they underwent in vitro fertilisation and developed stimulation-related abdominal symptoms. All were content with the operative results. CONCLUSIONS: Operations for rectosigmoid endometriosis are technically difficult with a long operating time and considerable blood loss, but they are successful in relieving symptoms when conservative treatment has failed.
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- Colorectal endometriosis-associated infertility: should surgery precede ART? 2017
- Correlation of the three-dimensional ultrasound findings with pathology in patients with deep pelvic infiltrating endometriosis submitted to surgery 2016
- Colorectal endometriosis and fertility 2016
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- Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications 2015
- Delivery and pregnancy outcome in women with bowel resection for deep endometriosis: a retrospective cohort study 2015
- Endometriosis in the Bartholin Gland: A Case Report 2014
- Long-Term Outcomes on Quality of Life in Women Submitted to Laparoscopic Treatment for Bowel Endometriosis 2014
- Value of diagnostic procedures in rectovaginal endometriosis 2013
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- Does laparoscopic management of deep infiltrating endometriosis improve quality of life? A prospective study 2011
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- Randomized Trial of Laparoscopically Assisted Versus Open Colorectal Resection for Endometriosis 2010
- Fertility and clinical outcome after bowel resection in infertile women with endometriosis 2010
- Histopathologic Analysis of Intestinal Endometriosis after Laparoscopic Low Anterior Resection 2010
- Laparoscopic treatment of bowel endometriosis in infertile women 2009
- Laparoscopic excision of rectovaginal endometriosis: report of a prospective study and review of the literature 2009
- Histopathology‐based combined surgical approach to rectovaginal endometriosis 2008
- ENDOMETRIOSIS PROFUNDA DEL TABIQUE RECTOVAGINAL CON COMPROMISO INTESTINAL: MANEJO QUIRÚRGICO CON RESECCIÓN SEGMENTARIA DE RECTOSIGMOIDES 2008
- Ein kombinierter Operationsansatz zur Therapie der rektovaginalen Endometriose auf der Basis histologischer Befunde 2008
- Use of the SF-36 questionnaire to predict quality-of-life improvement after laparoscopic colorectal resection for endometriosis 2008
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- Laparoscopic treatment of deep endometriosis with segmental colorectal resection: Short-term morbidity 2007
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- Surgical outcome and long‐term follow up after laparoscopic rectosigmoid resection in women with deep infiltrating endometriosis 2007
- Laparoscopic segmental colorectal resection for endometriosis: limits and complications 2007
- Combined vaginal–laparoscopic–abdominal approach for the surgical treatment of rectovaginal endometriosis with bowel resection: a comparison of this new technique with various established approaches by laparoscopy and laparotomy 2007
- Endometriosis intestinal. Estado actual 2007
- RECTAL ENDOMETRIOSIS: RESULTS OF RADICAL EXCISION AND REVIEW OF PUBLISHED WORK 2007
- Endorectal Ultrasonography in Predicting Rectal Wall Infiltration in Patients With Deep Pelvic Endometriosis: A Modern Tool for an Ancient Disease 2006
- Symptômes douloureux de l'endométriose 2006
- Síntomas dolorosos de la endometriosis 2006
- Quality of life after laparoscopic colorectal resection for endometriosis 2006
- Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications 2005
- Radical resection of invasive endometriosis with bowel or bladder involvement—Long-term results 2005
- Symptômes douloureux de l'endométriose 2005
- Feasibility and clinical outcome of laparoscopic colorectal resection for endometriosis 2005
- Endometriosis in the Bartholin gland 2004
- Symptoms before and after surgical removal of colorectal endometriosis that are assessed by magnetic resonance imaging and rectal endoscopic sonography 2004
- Prise en charge chirurgicale des endométrioses de la cloison rectovaginale. À propos d’une série continue de 50 cas 2004
- Accuracy of rectal endoscopic ultrasonography and magnetic resonance imaging in the diagnosis of rectal involvement for patients presenting with deeply infiltrating endometriosis 2004
- Endometriosis extragenital y extrapelviana 2003
- Endometriosis of the rectovaginal septum: endovaginal US and MRI findings in two cases 2003
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