Bowel resection for severe endometriosis: An Australian series of 177 cases

Hannah J. WILLS, Wills HJ, Reid GD, Geoffrey D Reid, Geoffrey Reid, Cooper MJ, Michael Cooper, Michael J W Cooper, Tsaltas J, Jim Tsaltas, Matthew Morgan, Morgan M, Rodney Woods, Rodney J Woods, Woods RJ
The Australian & New Zealand journal of obstetrics & gynaecology · 2009 · vol. 49(4) , pp. 415–418 · doi:10.1111/j.1479-828x.2009.01020.x · PMID:19694699 · W1979411039
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This Australian series of 177 women undergoing bowel resection for severe colorectal endometriosis found the surgery, primarily performed laparoscopically, to be well-tolerated and effective in confirming disease.

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Abstract

BACKGROUND: Colorectal resection for severe endometriosis has been increasingly described in the literature over the last 20 years. AIMS: To describe the experiences of three gynaecological surgeons who perform radical surgery for colorectal endometriosis. METHODS: The records of three surgeons were reviewed. Relevant information was extracted and complied into a database. RESULTS: One hundred and seventy-seven women were identified as having undergone surgery between February 1997 and October 2007. The primary reason for presentation was pain in the majority of women (79%). Eighty-one segmental resections were performed, 71 disc excisions, ten appendicectomies and multiple procedures in ten women. The majority of procedures (81.4%) were performed laparoscopically. Histology confirmed the presence of disease in 98.3% of cases. A further 124 procedures to remove other sites of endometriosis were conducted, along with an additional 44 procedures not primarily for endometriosis. A total of 16 unintended events occurred. CONCLUSIONS: Our study adds to the growing body of literature describing colorectal resection for severe endometriosis. Overall, the surgery appeared to be well tolerated, demonstrating the role for this surgery.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Colorectal Surgery Endometriosis Laparoscopy Rectal Diseases Adolescent Adult Colonic Diseases Colonic Diseases Colorectal Surgery Endometriosis Endometriosis Endometriosis Female Humans Laparoscopy Laparoscopy Middle Aged Pain Pain

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (23)

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