Major and minor complications after resection without bowel resection for deeply infiltrating endometriosis

Johannes Lermann, Nalan Topal, Werner Adler, Thomas Hildebrandt, Stefan P Renner, Matthias W Beckmann, Stefanie Burghaus
Archives of gynecology and obstetrics · 2018 · vol. 298(5) , pp. 991–999 · doi:10.1007/s00404-018-4875-5 · PMID:30191419 · W2892048181
article OA: closed CC0 ⤵ 9 in-corpus citations
Limited metadata. Only one source feed has indexed this record so far — no abstract, full text, or open-access copy is available through Endo Lab. The publisher's page (linked below) is the canonical location for the actual content. If you have institutional access, use "Find at my library".
View at publisher → View on OpenAlex View on PubMed
⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This study found that surgeries for deeply infiltrating endometriosis without rectal resection resulted in major complications in 3.7% and minor complications in 12.7% of patients, with significant long-term bladder and sexual dysfunction reported.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

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

This study assessed major and minor postoperative complications after resection for deeply infiltrating endometriosis, specifically including patients treated without anterior rectal resection, using clinical/surgical records from 2001–2011 (n=134) and a patient questionnaire compared with a healthy control group (n=100; response rate 66.4%) with a mean follow-up of 75.6 months. Major complications occurred in 3.7% and minor complications in 12.7%, and surgical revision was required in five cases. Patients reported significant long-term impairments versus controls, including weak urinary flow (26.4%), residual urine sensation (16.1%), constipation (13.5%), higher bowel movement frequency (16.9%), and insufficient lubrication during intercourse (30.3%); however, subgroup analyses did not find statistical associations between symptoms and dyspareunia or dysmenorrhea reasons for surgery or prior endometriosis surgery history. The authors note limited existing evidence on complication rates for procedures involving the sacrouterine ligaments and/or rectovaginal septum, and they call for further prospective studies. This paper is centrally about endometriosis—quantifying long-term major/minor complications and urinary/sexual/intestinal functional impairment after surgical resection for deeply infiltrating endometriosis without bowel resection.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

My notes (saved in your browser only)

Condition tags

mesh:D004412mesh:D004414mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometriosis Postoperative Complications Adult Constipation Constipation Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Endometriosis Female Humans Laparoscopy Laparoscopy Middle Aged Postoperative Complications Prospective Studies Rectum Rectum

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.

References (27)

Cited by (9)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:19:37.156494+00:00
License: CC0 · commercial use OK