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
Reproductive outcomes of surgical treatment of colorectal infiltrative endometriosis: literature review
Journal ArticleDOI
Laparoscopic management of the advanced and rectovaginal endometriosis with gastrointestinal involvement: A review of the current literature
TL;DR: Endometriozis iyi huylu bir hastalik prosesi olmasina ragmen endometrial gland ve stromanin uterus disinda potansiyel olarak invazif bir davranisla bulunmasidir fakat ureme caindaki kadinlarin yaklasik %10-15’i etkilenmistir.
Book ChapterDOI
Laparoscopic Discoid Rectal Endometriosis Resection: The Squeeze Technique
Ted Lee,Noah B. Rindos +1 more
TL;DR: In this article, Laparoscopic excision of full thickness rectal endometriosis using a discoid resection can avoid the need for a bowel resection, which may help avoid some of the morbidity and prolonged hospitalization that can be associated with larger bowel surgery.
Journal ArticleDOI
Bowel resection performed by gynecologists - Outcomes and learning curves. Activity profile in a Gynecology Department: 7-year observational cohort.
Muriel Vermel,Lise Lecointre,Floriane Jochum,Thomas Schwaab,Françoise Futcher,Emilie Faller,Thomas Boisramé,Jean-Jacques Baldauf,Cherif Akladios +8 more
TL;DR: In this article, the authors describe a 7-year surgical experience in bowel resections of a gynecologic surgeon and determine his learning curves using cumulative sum analysis of operative time and risk-adjusted cumulative sum (RA-CUSUM) analysis of severe perioperative complications.
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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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.