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
Citations
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Journal ArticleDOI
Preoperative Diagnosis of Intestinal Endometriosis by Magnifying Colonoscopy and Target Biopsy.
Jun Tomiguchi,Hideaki Miyamoto,Kazutaka Ozono,Ryosuke Gushima,Takashi Shono,Hideaki Naoe,Motohiko Tanaka,Hideo Baba,Hidetaka Katabuchi,Yutaka Sasaki +9 more
TL;DR: This case illustrated the characteristic finding and utility of magnifying endoscopy for mucosal intestinal endometriosis and diagnosed preoperatively by magnifying image-enhanced colonoscopy and target biopsy.
Dissertation
Les membranes foetales humaines : une interface materno-foetale en situation physiologique et physiopathologique
TL;DR: The observation before labour of a zone of altered morphology associated with focal physical weakness in the region overlying the cervix suggests programming of the rupture before parturition and a better understanding of the biochemical mechanisms of membranes rupture will provide new insights into how to anticipate and to intervene in the case of risk of premature rupture.
Journal ArticleDOI
Endometriosis-associated infertility: From pathophysiology to tailored treatment
Giulia Bonavina,Hugh R. Taylor +1 more
TL;DR: The etiology of endometriosis related infertility as well as current treatment options, including the roles of surgery and assisted reproductive technologies are reviewed.
Journal ArticleDOI
Traitement chirurgical de l’endométriose digestive : entre l’approche limitée et radicale
V. Bridoux,H. Roman,J. J. Tuech +2 more
TL;DR: One ongoing trial “ENDORE” will answer this question by comparing radical resection to conservative approach by comparing radicals to conservatives in digestive endometriosis.
Journal ArticleDOI
Combined vaginal-laparoscopic approach vs. laparoscopy alone for prevention of bladder voiding dysfunction after removal of large rectovaginal endometriosis.
Horace Roman,E. Desnyder,Jennifer Pontré,C. Hennetier,C. Klapczynski,P. Collard,J.-N. Cornu,Jean-Jacques Tuech +7 more
TL;DR: The combined vaginal-laparoscopic approach for large rectovaginal endometriotic nodules could reduce the risk of postoperative bladder dysfunction, when compared to an exclusively laparoscope approach, most likely due to a reduced risk of damage to the pelvic splanchnic nerves at the paravaginal level.
References
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Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity
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Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration.
TL;DR: This elaboration and explanation document is developed from a review of the literature to provide examples of adequate reporting in trials of nonpharmacologic treatments and should help to improve the reporting of RCTs performed in this field.
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ESHRE guideline for the diagnosis and treatment of endometriosis
Stephen Kennedy,Agneta Bergqvist,Charles Chapron,Thomas D'Hooghe,Gerard A.J. Dunselman,Robert R. Greb,Lone Hummelshoj,Andrew M. Prentice,Ertan Saridogan +8 more
TL;DR: A working group was convened comprised of practising gynaecologists and experts in evidence-based medicine from Europe, as well as an endometriosis self-help group representative, and the guideline was developed and refined.
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Endometriosis: epidemiology and aetiological factors
TL;DR: These epidemiological findings strongly support the menstrual reflux hypothesis and include the demonstration of viable endometrial cells in the menstrual effluent and peritoneal fluid, and an association between obstructed menstrual outflow and endometriosis.
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High rates of autoimmune and endocrine disorders, fibromyalgia, chronic fatigue syndrome and atopic diseases among women with endometriosis: a survey analysis
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.