Aggressive surgical management for advanced colorectal endometriosis

H R Bailey, Randolph H. Bailey, Michael T. Ott, M T Ott, P Hartendorp
Diseases of the colon and rectum · 1994 · vol. 37(8) , pp. 747–753 · doi:10.1007/bf02050136 · PMID:8055717 · W2014040885
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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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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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Condition tags

mesh:D004715endometriosisdyspareunia

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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