Bowel occult microscopic endometriosis in resection margins in deep colorectal endometriosis specimens has no impact on short-term postoperative outcomes

Roman, Horace; Hennetier, Clotilde; Darwish, Basma; Badescu, Alexandra; Csanyi, Marie; Aziz, Moutaz; Tuech, Jean‐Jacques; Abo, Carole

doi:10.1016/j.fertnstert.2015.09.030

Cited by 50 publications

(23 citation statements)

References 24 publications

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“…Mabrouk et al also reported no differences in SF‐36 scores between patients who underwent shaving or resection surgery . Furthermore, in our study, postoperative GIQLI scores obtained for the two groups remained below normal values (score: 125) , consistent with those obtained by Roman et al , with the GIQLI score in the SG far higher than in the RG. Though no preoperative evaluation using a QoL questionnaire was undertaken by the authors, these data suggest that after radical surgery, digestive symptoms continue to affect QoL.…”

Section: Discussionsupporting

confidence: 90%

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Long‐term evaluation of painful symptoms and fertility after surgery for large rectovaginal endometriosis nodule: a retrospective study

Bourdel

Comptour

Bouchet

et al. 2017

Acta Obstet Gynecol Scand

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Section: Discussionsupporting

confidence: 90%

“…Though no preoperative evaluation using a QoL questionnaire was undertaken by the authors, these data suggest that after radical surgery, digestive symptoms continue to affect QoL. Radical resection fails to provide a solution to all digestive symptoms, due most likely to their multifactorial origin beyond the lesion itself .…”

Section: Discussionmentioning

confidence: 91%

Long‐term evaluation of painful symptoms and fertility after surgery for large rectovaginal endometriosis nodule: a retrospective study

Bourdel

Comptour

Bouchet

et al. 2017

Acta Obstet Gynecol Scand

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“…However, bowel occult microscopic endometriosis (BOME) in resection margins was analyzed in a study performed by Roman et al on 103 patients managed by colorectal resection for DIE. The authors compared the rates of dyschezia, diarrhea, constipation, bloating and overall values of GIQLI and KESS scores at 1 year and 3 years postoperatively and demonstrated no statistical significance between women with and without BOME (found in 14% of specimen resection margins) (13) .…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic surgery for deep infiltrating endometriosis (DIE) - clinical management and outcome in a multidisciplinary center

Simedrea¹

2016

Gineco.eu

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Endometriosis is a benign disease with highly variable symptoms. The adequate treatment for symptomatic disease requires complete resection of all lesions. In advanced stages, bowel involvement is common. However, indications of colorectal resection for endometriosis remain controversial because of the risk of major complications. The aim of this study was to assess the feasibility of complete laparoscopic management of symptomatic deep pelvic endometriosis in a new multidisciplinary center in Romania. We included and retrospectively evaluated 74 patients treated for symptomatic deep infiltrating endometriosis in our institution between 2014 and 2015. In the majority of patients (97.3%), radical resection was achieved entirely using a minimally invasive surgical technique. Complications occurred in only 2 cases with anastomotic leakage in 1 patient and a rectovaginal fistula in another patient. A well-trained interdisciplinary team can perform the laparoscopic treatment of deep infiltrating endometriosis with low incidence of major complications and good clinical outcome.

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“…reported that the recurrence rate of pelvic endometriosis was 15% after 8 years . Bowel occult microscopic endometriosis was noted in 14.6% of specimen resection margins . Therefore, long‐term follow‐up to monitor for postoperative recurrence and residual lesions is necessary.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery with urinary tract reconstruction and bowel endometriosis resection for deep infiltrating endometriosis

Ota

Andou

Ota

2018

Asian J Endoscop Surgery

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Deep infiltrating endometriosis (DIE) is the most severe form of endometriosis. It causes chronic pelvic pain, severe dysmenorrhea, deep dyspareunia, dyschezia, and dysuria, markedly impairing the quality of life of women of reproductive age. A number of randomized controlled trials on surgical and medical treatments to reduce the pain associated with endometriosis have been reported, but few have focused on this in DIE. DIE causes not only pain but also functional invasion to the urinary organs and bowel, such as hydronephrosis and bowel stenosis. In addition to DIE resection, surgical treatment involves adhesion separation as well as resection and reconstruction of the urinary organs and bowel; high-level skills are required. The severity of DIE should be evaluated preoperatively as accurately as possible. Using ENZIAN in conjunction with the AFS (The revised American Fertility Society classification of endometriosis) classification makes a more detailed assessment of DIE possible. The operative procedures used for laparoscopic resection of urinary DIE and reconstruction of the urinary organs are chosen based on the type of lesion (intrinsic/extrinsic) and length of stenosis. In addition to ureteroneocystostomy, the psoas bladder hitch and Boari bladder flap procedures are applied when necessary to extend the urinary tract. Bowel resection for bowel endometriosis is classified into classic segmental resection and conservative approaches (shaving/discoid). When these procedures are employed, it is advisable to work in consultation with urologists and gastroenterologists and to inform the patients of the associated risks and outcomes. Furthermore, postoperative medication is essential because it is difficult to conduct repeated surgeries.

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Bowel occult microscopic endometriosis in resection margins in deep colorectal endometriosis specimens has no impact on short-term postoperative outcomes

Abstract: NCT02294825.

Cited by 50 publications

References 24 publications

Long‐term evaluation of painful symptoms and fertility after surgery for large rectovaginal endometriosis nodule: a retrospective study

Long‐term evaluation of painful symptoms and fertility after surgery for large rectovaginal endometriosis nodule: a retrospective study

Laparoscopic surgery for deep infiltrating endometriosis (DIE) - clinical management and outcome in a multidisciplinary center

Laparoscopic surgery with urinary tract reconstruction and bowel endometriosis resection for deep infiltrating endometriosis

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