Bowel complications in endometriosis surgery

Marco Aurelio Pinho Oliveira, Marco Aurélio Pinho Oliveira, Thiago Rodrigues Dantas Pereira, Thiago Rodrigues Pereira, Pereira TR, Audrey Gilbert, Gilbert A, Togas Tulandi, Tulandi T, Hildoberto Carneiro de Oliveira, de Oliveira HC, Rudy Leon De Wilde, De Wilde RL
Best practice & research. Clinical obstetrics & gynaecology · 2015 · vol. 35 , pp. 51–62 · doi:10.1016/j.bpobgyn.2015.11.002 · PMID:26694586 · W2207809615
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This study investigated bowel complications following endometriosis surgery and identified their incidence and risk factors.

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Abstract

Endometriosis surgery by laparoscopy or laparotomy can be associated with various types of intestinal complications that may occur in the immediate postoperative period or later. They include bowel anastomotic dehiscence, rectovaginal fistula, anastomotic bleeding, intra-abdominal infections, wound infections, bowel stricture, intestinal obstruction, chronic constipation, and diarrhea. There is growing evidence that bowel injuries can be repaired by primary closure in two layers even without previous bowel preparation. Surgical treatments of deep bowel endometriosis include conservative surgery (including shaving technique or discoid resection) or a more radical approach such as bowel resection that is associated with increased complications. Good perfusion and no tension at the anastomosis site are essential when segmental resection is performed. Early recognition of bowel complications during surgery or in the immediate postoperative period is fundamental to decreased morbidity and mortality. This chapter will deal with the prevention of bowel complication in minimally invasive surgery for endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Diseases Intestines Intraoperative Complications Laparoscopy Postoperative Complications Anastomosis, Surgical Anastomosis, Surgical Anastomosis, Surgical Endometriosis Endometriosis Female Female Humans Humans Intestinal Diseases Intestinal Diseases Intestinal Diseases Intestines Intestines

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 (100)

Cited by (27)

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