Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum

Horace Roman, Roman H, Vassilieff M, M. Vassilieff, Maud Vassilieff, Jean‐Jacques Tuech, Tuech JJ, Jean Jacques Tuech, Emmanuel Huet, Huet E, Guillaume Savoye, Loı̈c Marpeau, Loïc Marpeau, Marpeau L, Puscasiu L, Lucian Pușcașiu, Lucian Puscasiu
Fertility and sterility · 2013 · vol. 99(6) , pp. 1695–1704.e6 · doi:10.1016/j.fertnstert.2013.01.131 · PMID:23465818 · W2057413367
article OA: closed CC0 ⤵ 85 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study investigated the impact of radical versus conservative surgical approaches on postoperative digestive function in patients undergoing surgery for deep endometriosis infiltrating the rectum.

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

Abstract

ObjectiveTo compare delayed digestive outcomes in women managed by two different surgical philosophies: a radical approach mainly related to colorectal resection, and a conservative approach involving rectal shaving and rectal nodule excision.Design"Before and after" comparative retrospective study.SettingUniversity tertiary referral center.Patient(s)Seventy-five patients managed by surgery for deep endometriosis infiltrating the rectum.Intervention(s)Twenty-four women were managed during a period when surgeons pursued a radical philosophy toward treatment, and 51 women were managed during a period when a conservative philosophy was adopted.Main outcomes measure(s)Standardized gastrointestinal questionnaires: the Gastrointestinal Quality of Life Index, the Knowles-Eccersley-Scott Symptom Questionnaire, the Bristol Stool Score, and the Fecal Incontinence Quality of Life Score.Result(s)Preoperative patient characteristics, rectal nodule features, and associated localizations of the disease were comparable between the two groups. During the radical period, colorectal resection was carried out in 67% of patients, whereas during the second period only 20% of women underwent colorectal resection. Women managed according to the conservative philosophy had significantly improved results on the Knowles-Eccersley-Scott Symptom Questionnaire, Gastrointestinal Quality of Life Index, and depression/self-perception Fecal Incontinence Quality of Life Score, and significantly improved values for various items related to postoperative constipation: unsuccessful evacuatory attempts, feeling incomplete evacuation, abdominal pain, time taken to evacuate, difficulty evacuating causing a painful effort, and stool consistency.Conclusion(s)It seems that reducing the rate of colorectal resection leads to better functional outcomes in women presenting with rectal endometriosis, lending support to the conservative surgical philosophy over mandatory colorectal resection.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Colorectal Surgery Endometriosis Endometriosis Postoperative Complications Rectum Rectum Adult Colorectal Surgery Colorectal Surgery Endometriosis Endometriosis Fecal Incontinence Fecal Incontinence Fecal Incontinence Fecal Incontinence Female Follow-Up Studies Humans Philosophy, Medical Postoperative Complications

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 (37)

Cited by (50)

Source provenance

europepmc
last seen: 2026-07-25T06:15:30.875455+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:19:05.543671+00:00
License: CC0 · commercial use OK