Association of History of Surgery for Endometriosis With Severity of Deeply Infiltrating Endometriosis

Sibiude, Jeanne; Santulli, Piétro; Marcellin, Louis; Borghese, Bruno; Dousset, B.; Chapron, Charles

doi:10.1097/aog.0000000000000464

Cited by 50 publications

(34 citation statements)

References 35 publications

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“…This finding appears to align with previous series of ICE: one series had eight, and the other 31 patients, associated with rectosigmoid endometriosis in 100 and 94% of the women, respectively . Multivariable logistic regression analysis showed that the ICE‐positive women were characterised by more severe DIE, including a significantly longer history of disease, higher rates of previous surgery, higher prevalence rates of sigmoid lesions and endometrioma, more DIE lesions, and higher ASRM stages. These results are consistent with previous reports describing more advanced disease in women with DIE who also have endometrioma, appendiceal endometriosis or previous surgery .…”

Section: Discussionsupporting

confidence: 86%

“…Multivariable logistic regression analysis showed that the ICE‐positive women were characterised by more severe DIE, including a significantly longer history of disease, higher rates of previous surgery, higher prevalence rates of sigmoid lesions and endometrioma, more DIE lesions, and higher ASRM stages. These results are consistent with previous reports describing more advanced disease in women with DIE who also have endometrioma, appendiceal endometriosis or previous surgery . In contrast, the A‐positive patients with isolated appendiceal endometriosis appeared to be comparable to the ICE‐negative patients.…”

Section: Discussionmentioning

confidence: 99%

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Associated ileocaecal location is a marker for greater severity of low rectal endometriosis

Marcellin

Leconte

Gaujoux

et al. 2019

BJOG

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Objective To determine whether ileocaecal endometriosis (ICE) is a marker for low rectal endometriosis (LRE) severity.Design Retrospective cohort study. Setting France.Population and sample Analysis of 375 colorectal resections performed in women undergoing complete surgery for LRE from January 1995 to December 2015 in a university centre for endometriosis.Methods Univariate and multivariate analysis of anatomical, postoperative clinical, and long-term outcomes according to presence of ICE.Main outcomes and measures Mean number and type of deep infiltrating endometriosis (DIE) lesions, the existence of an associated endometrioma, and mean total American Society for Reproductive Medicine (ASRM) score.Results The prevalence of ICE was 25.6%. Primary end-point data showed that women with ICE had a significantly higher adjusted number of DIE lesions (OR = 1.43, 95% CI 1.02-3.03; P = 0.048), higher prevalence of endometriomas (OR = 1.91, 95% CI 1.04-3.51; P = 0.044), more associated DIE sigmoid lesions (OR = 2.12, 95% CI 1.07-3.91; P = 0.025), and a higher mean total ASRM score (OR = 2.07, 95% CI 1.12-4.14; P = 0.025). Women with ICE resected during the surgical procedure for LRE did not have more adverse postoperative clinical outcomes than ICE-negative patients.Conclusion Ileocaecal endometriosis was significantly associated with greater LRE severity. In a complete surgical resection strategy, combining resection of ICE and LRE did not appear to increase postoperative rates of complications, morbidity or recurrence, nor did it seem to impair long-term clinical outcomes.Keywords Complete surgery, deep infiltrating endometriosis, disease severity, ileocaecal endometriosis, low rectal endometriosis.Tweetable abstract In women with low rectal endometriosis, 25% have an associated ileocaecal location that is a marker for severity.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Associated ileocaecal location is a marker for greater severity of low rectal endometriosis

Marcellin

Leconte

Gaujoux

et al. 2019

BJOG

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“…Excluded from this population were the following: (i) patients who had undergone surgery for cancer; (ii) pregnant patients (i.e. ectopic pregnancies); (iii) endometriotic patients for whom surgical exeresis was considered as being incomplete by the surgeon (Lafay Pillet et al, 2014;Sibiude et al, 2014). All women underwent preoperative MRI.…”

Section: Patientsmentioning

confidence: 99%

Relationship between the magnetic resonance imaging appearance of adenomyosis and endometriosis phenotypes

Chapron¹,

Tosti

Marcellin³

et al. 2017

Human Reproduction

Self Cite

224

172

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“…Rektovaginalinės pertvaros pažeidimas randamas nuo 5 % iki 12 % moterų, operuojamų dėl endometriozės [20]. Žarnyno ar šlapimo pūslės pažeidimas nustatomas rečiau.…”

Section: Chirurginis Giliai Infiltruojančios Endometriozės Gydymasunclassified

“…Kai kurie chirurgai esant rektovaginalinei endometriozei atlieka priekinę tiesiosios žarnos rezekciją. Tačiau, jei atliekama tik mazgų ekscizija, rezultatai daug geresni, o rektovaginalinės fistulės ir kitų komplikacijų dažnis gerokai mažesnis [20,23].…”

Section: Chirurginis Giliai Infiltruojančios Endometriozės Gydymasunclassified

Chirurginis endometriozės gydymas: literatūros apžvalga

Simavičius¹,

Bogužienė²,

Kupčiūnaitė³

et al. 2015

LietChirur

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Endometriozė -dažna reprodukcinio amžiaus moterų liga, sukelianti skausmą ir nevaisingumą. Chirurginis gydymas yra vienas iš svarbiausių endometriozės gydymo etapų. Tinkamas chirurginis gydymas palengvina endometriozės sukeliamus simptomus ir padidina pastojimo dažnį gydant nevaisingumą. Laparoskopinės chirurgijos technikų ir taktikų tobulėjimas lėmė, kad endometriozės chirurginis gydymas tapo svarbiu gydymo etapu, turinčiu pranašumų, palyginti su medikamentiniu gydymu. Skiriamos trys pagrindinės ligos formos: pilvaplėvės, kiaušidžių ir gilioji rektovaginalinės pertvaros endometriozė. Paprasčiausia atlikti paviršinių endometriozės židinių abliaciją, o gydant giliąsias ligos formas židinių ekscizijos būdu reikalinga chirurgo patirtis ir įgūdžiai. Endometriozės chirurginis gydymas yra tausojantis arba radikalus, jei šalinama gimda ir (ar) kiaušidės. Labai svarbu laparoskopijos būdu nustačius endometriozę pašalinti visus matomus pažeidimus. Pagrindinis šio straipsnio tikslas yra padėti suprasti chirurginio gydymo svarbą gydant endometriozę ir pateikti moksliškai pagrįstus įrody-mus, kaip tinkamai gydyti endometriozę chirurginiu būdu.

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Association of History of Surgery for Endometriosis With Severity of Deeply Infiltrating Endometriosis

Abstract: : II.

Cited by 50 publications

References 35 publications

Associated ileocaecal location is a marker for greater severity of low rectal endometriosis

Associated ileocaecal location is a marker for greater severity of low rectal endometriosis

Relationship between the magnetic resonance imaging appearance of adenomyosis and endometriosis phenotypes

Chirurginis endometriozės gydymas: literatūros apžvalga

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