Aggressive surgical management for advanced colorectal endometriosis

Bailey HR, H R Bailey, Randolph H. Bailey, Michael T. Ott, M T Ott, Ott MT, Hartendorp P, P. Hartendorp
Diseases of the colon and rectum · 1994 · vol. 37(8) , pp. 747–753 · doi:10.1007/bf02050136 · PMID:8055717 · W2014040885
article OA: closed CC0 ⤵ 188 in-corpus citations
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Aggressive surgical management of advanced colorectal endometriosis in 130 women resulted in high symptom relief, zero mortality, low complication rates, and a 49% pregnancy rate.

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This study evaluated the outcomes of aggressive surgical management in 130 women with advanced colorectal endometriosis. Researchers reviewed medical records and conducted interviews an average of sixty months post-surgery to assess symptom relief, which ranged from 91 percent for rectal pain to 100 percent for cyclic bleeding. The procedure was associated with low complication rates, including zero mortality and minimal instances of leakage or obstruction, while also yielding a crude pregnancy rate of 49 percent. This paper is centrally about endometriosis — specifically the surgical excision of deep infiltrating lesions affecting the colorectum.

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Abstract

PURPOSE: The aim of this study was to evaluate the results of aggressive surgical management in patients with advanced colorectal endometriosis. METHODS: The medical records of 130 women who had undergone aggressive surgical management of advanced colorectal endometriosis were reviewed. They were then interviewed a mean of 60 months following surgery and asked to rank relief of their symptoms. RESULTS: The most common symptoms before surgery were pelvic pain, dyspareunia, rectal pain, change in bowel habit, and cyclic rectal bleeding. Colorectal operations included low anterior resection, sigmoid resection, disc excision of the rectal wall, right colectomy, appendectomy, and small bowel resection. At follow-up symptom relief was high, ranging from 100 percent in cyclic bleeding to 91 percent for rectal pain. Mortality and clinical leakage rates were 0 percent, small bowel obstruction 3 percent, and abscess 1 percent. The crude pregnancy rate following surgery was 49 percent. CONCLUSIONS: These findings strongly support the use of aggressive surgical extirpation of all visible colorectal endometriosis for patients with advanced disease.
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Methods

The medical records of 130 women who had undergone aggressive surgical management of advanced colorectal endometriosis were reviewed. They were then interviewed a mean of 60 months following surgery and asked to rank relief of their symptoms.

Results

The most common symptoms before surgery were pelvic pain, dyspareunia, rectal pain, change in bowel habit, and cyclic rectal bleeding. Colorectal operations included low anterior resection, sigmoid resection, disc excision of the rectal wall, right colectomy, appendectomy, and small bowel resection. At follow-up symptom relief was high, ranging from 100 percent in cyclic bleeding to 91 percent for rectal pain. Mortality and clinical leakage rates were 0 percent, small bowel obstruction 3 percent, and abscess 1 percent. The crude pregnancy rate following surgery was 49 percent.

Conclusions

These findings strongly support the use of aggressive surgical extirpation of all visible colorectal endometriosis for patients with advanced disease.

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Condition tags

endometriosisdyspareunia

MeSH descriptors

Colonic Diseases Endometriosis Rectal Diseases Adult Colonic Diseases Colonic Diseases Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Humans Infertility, Female Infertility, Female Patient Satisfaction Rectal Diseases Rectal Diseases Retrospective Studies Time Factors

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 (39)

Cited by (50)

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