Long Term Surgical Outcomes after Segmental Colorectal Resection in Women with Severe Endometriosis

Lisette E.E. van der Houwen, Annemarie B. Lüchinger, M.P.H. Busard, J.H.T.M. van Waesberghe, Miguel A. Cuesta, Cornelis B. Lambalk, Velja Mijatovic, Peter G.A. Hompes
In: Journal of Endometriosis · 2012 · vol. 4(1) , pp. 34–41 · doi:10.5301/je.2012.9230 · W2047427458
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This retrospective study found that segmental colorectal resection for severe intestinal endometriosis reduced symptoms and increased patient satisfaction, with a 12% cumulative complication rate and a high rate of conception post-surgery.

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Abstract

Purpose The aim of this study is to assess post-operative complications, symptoms, patient satisfaction, and fertility outcome after a long-term follow-up period in patients with severe intestinal endometriosis. Methods In this retrospective study (January 1998 - December 2008) patients scheduled for a segmental colorectal resection by laparotomy were identified. Surgery was performed by a multidisciplinary team. Data were obtained from medical records and supplemented by a questionnaire. Results A total of 41 patients (median age 30 years [24–45]) were included with a mean follow-up of 50 months. Three patients were lost to follow-up. Chronic pelvic pain, dysmenorrhea, dyschezia, hematochezia, constipation, pencil like stool, diarrhea, and tenesmus decreased, respectively, in 24, 16, 31, 25, 26, 12, 11, and 21 patients. Post-operatively, one patient conceived naturally and eleven out of fifteen patients conceived after in vitro fertilization. The post-operative patient satisfaction rate (mean 7.4) was significantly higher compared to prior to surgery (mean 4.6). Four major complications were reported in the first year after surgery. The cumulative complication rate was 12%. Conclusions Segmental colorectal resection by laparotomy in patients with severe intestinal endometriosis effectively reduces symptoms and increases patient satisfaction with an acceptable risk on treatable complications.

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Condition tags

endometriosischronic_pelvic_paindysmenorrhea

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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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