Deeply infiltrating disease in surgically treated endometriosis patients

Setälä, Marjaleena; Savolainen, H.; Kössi, Jyrki; Ranta, Tapio; Mäkinen, Juha

doi:10.1111/j.1600-0412.2011.01097.x

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…However, the significance of this previous finding was not confirmed by multivariate analysis, which may be the result of the small number of patients included in the study (n5201). 26 "Recurrence or persistence?" remains a principal question.…”

Section: Discussionmentioning

confidence: 99%

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

Sibiude

Santulli

Marcellin

et al. 2014

Obstetrics &Amp; Gynecology

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Section: Discussionmentioning

confidence: 99%

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

Sibiude

Santulli

Marcellin

et al. 2014

Obstetrics &Amp; Gynecology

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“…reported a 14.9% appendiceal endometriosis rate in women with chronic pelvic pain or endometriosis undergoing gynaecological surgery. Appendiceal endometriosis is reportedly higher in women with deep infiltrating endometriosis compared to women with superficial endometriosis 16,17 . Setala et al 16 .…”

Section: Discussionmentioning

confidence: 98%

“…Appendiceal endometriosis is reportedly higher in women with deep infiltrating endometriosis compared to women with superficial endometriosis 16,17 . Setala et al 16 . reported an appendiceal endometriosis rate of 15.5% in a cohort of 201 patients with deep infiltrating lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Appendiceal endometriosis is reportedly higher in women with deep infiltrating endometriosis compared to women with superficial endometriosis. 16,17 Setala et al 16 All patients with confirmed appendiceal endometriosis reported pain symptoms pre-operatively. Their symptoms included dyspareunia (58%), dyschezia (58%), dysmenorrhoea (67%) and pelvic pain (67%).…”

Section: Discussionmentioning

confidence: 99%

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The appendix in endometriosis

Guo

Chen

Chiu

et al. 2023

Aust NZ J Obst Gynaeco

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BackgroundIn the most severe stage of endometriosis, Stage IV, intestinal involvement is common. The true prevalence of endometriotic disease of the appendix in this population is not well described. A macroscopically normal looking appendix may harbour endometriosis.AimsOur study aims to assess the role of routinely performing appendicectomy in Stage IV endometriosis surgery, and the histopathological prevalence of true appendiceal endometriosis in this population.MethodsThis is a retrospective study of women undergoing surgery for Stage IV endometriosis between 2018 to 2022 in a tertiary public hospital in New South Wales, Australia. Patient demographics, age and post‐operative complications were retrospectively retrieved from hospital medical records.Inclusion criteria were women with Stage IV endometriosis who underwent routine appendicectomy as part of their endometriosis surgery. Exclusion criteria were women who did not have Stage IV endometriosis, those who had cancer surgery or emergency surgery for endometriosis. The primary outcome of this study was to determine the incidence of appendiceal endometriosis. Secondary outcomes included post‐operative complications and length of stay.ResultsSixty‐seven patients were included. The mean age was 36 years. All patients also underwent bowel resection for colorectal endometriosis. There were 35.8% who had confirmed appendiceal endometriosis on histopathology. Post‐operative complications included port site infections, colitis, urinary tract infection and ureteric injury. There were no complications related to appendicectomy. Mean length of stay was 4.4 days.ConclusionLaparoscopic appendicectomy can be safely performed at time of laparoscopic surgical excision of Stage IV endometriosis and should be routinely considered in a subset of Stage IV endometriosis patients with colorectal involvement undergoing surgery.

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Risk of appendiceal endometriosis among women with deep‐infiltrating endometriosis

Moulder

Siedhoff

Melvin

et al. 2017

Intl J Gynecology & Obste

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Deeply infiltrating disease in surgically treated endometriosis patients

Abstract: Deeply infiltrating endometriosis is common in surgically treated endometriosis patients and should be searched for in those with persistent pelvic pain and where obliteration of the rectovaginal pouch is detected at surgery.

Cited by 7 publications

References 30 publications

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

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

The appendix in endometriosis

Risk of appendiceal endometriosis among women with deep‐infiltrating endometriosis

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