Surgical treatment of deeply infiltrating endometriosis with colorectal involvement
Christel Meuleman,Carla Tomassetti,André D'Hoore,Ben Van Cleynenbreugel,Freddy Penninckx,Ignace Vergote,Thomas D'Hooghe +6 more
TLDR
Prospective studies reporting standardized and well-defined clinical outcome after surgical treatment of deeply infiltrating endometriosis with colorectal involvement with long-term follow-up are needed.Abstract:
background: Treatment of colorectal endometriosis is difficult and challenging. We reviewed the clinical outcome of surgical treatment of deeply infiltrating endometriosis (DIE) with colorectal involvement. methods: Review was based upon a literature search using following search terms: (1) ‘surgery’ and ‘colorectal endometriosis’, (2) ‘bowel’ and ‘endometriosis’ and ‘surgery’. Inclusion criteria: clear explanation of surgical technique and follow-up data on at least one of the following items: complications, pain, quality of life (QOL), fertility and recurrence. results: Most of the 49 studies included complications (94%) and pain (67%); few studies reported recurrence (41%), fertility (37%) and QOL (10%); only 29% reported (loss of) follow-up. Out of 3894 patients, 71% received bowel resection anastomosis, 10% received fullthickness disc excision and 17% were treated with superficial surgery. Comparison of clinical outcome between different surgical techniques was not possible. Post-operative complications were present in 0 –3% of the patients. Although pain improvement was reported in most studies, pain evaluation was patient-based in ,50% (Visual Analogue Scale in only 18%). While QOL was improved in most studies, prospective data were only available for 149 patients. Pregnancy rates were 23–57% with a cumulative pregnancy rate of 58 –70% within 4 years. The overall endometriosis recurrence rate in studies (.2 years follow-up) was 5 –25% with most of the studies reporting 10%. Owing to highly variable study design and data collection, a CONSORT-inspired checklist was developed for future studies.read more
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Bowel preparation prior to transvaginal ultrasound improves detection of rectosigmoid deep infiltrating endometriosis and is well tolerated: prospective study of women with suspected endometriosis without surgical criteria.
Cristina Ros,Mariona Rius,Mauricio Simões Abrão,C. deGuirior,M.A. Martínez-Zamora,Meritxell Gracia,Francesc Carmona +6 more
TL;DR: To analyze the effect of bowel preparation prior to transvaginal ultrasound (TVS) examination on the detection of bowel involvement and the description of rectosigmoid nodules of deep infiltrating endometriosis (DIE), and to evaluate patient tolerance of bowel Preparation.
Journal ArticleDOI
Choosing the right technique for deep endometriosis.
TL;DR: It is of utmost importance to evaluate preoperatively the bowel infiltration by several imaging techniques to estimate the feasibility of a deep rectal shaving with possible incomplete removal of the endometriotic lesions or to discuss with the patient about the indication of a segmental bowel resection.
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European accreditation of endometriosis centers of expertise
Thomas D'Hooghe,Axel Forman +1 more
TL;DR: The early work on centralization of endometriosis care in Denmark is presented, in order to situate this process and the developments in Germany and the UK into a larger perspective.
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Risk of Rectovaginal Fistula in Women with Excision of Deep Endometriosis Requiring Concomitant Vaginal and Rectal Sutures, with or without Preventive Stoma: A Before-and-after Comparative Study.
Horace Roman,Khosravi, Mohammad,Valérie Bridoux,Benjamin Merlot,Myriam Noailles,Eric Magne,Benoit Resch,Damien Forestier,Jean-Jacques Tuech +8 more
TL;DR: In this paper, the authors assess whether a liberal policy of preventive stoma (LPS) reduces the rate of rectovaginal fistulas in women with excision of deep endometriosis requiring concomitant vaginal and rectal sutures.
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Surgical Treatment of Intestinal Endometriosis: Outcomes of Three Different Techniques.
Fernando Bray-Beraldo,Ana Maria Gomes Pereira,Cláudia Gazzo,Marcelo Protásio Santos,Reginaldo Guedes Coelho Lopes +4 more
TL;DR: A high prevalence of deep infiltrative endometriosis lesions was found located in the rectum and sigmoid region, and their size correlated directly with the extent of the surgical resection performed.
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TL;DR: Hypothyroidism, fibromyalgia, chronic fatigue syndrome, autoimmune diseases, allergies and asthma are all significantly more common in women with endometriosis than in women in the general USA population.