Laparoscopic Management of Rectal Endometriosis

Jatan, Anita; Solomon, Michael J.; Young, Jane; Cooper, Michael; Pathma‐Nathan, Nimalan

doi:10.1007/s10350-005-0264-9

Cited by 54 publications

(59 citation statements)

References 21 publications

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“…20 This does not necessarily reflect endometriosis practice in younger fitter women, and small series have reported much lower leak rates. 19 The complication rate in our series is similar to previous reports ( Table 7).…”

Section: Discussionsupporting

confidence: 82%

“…With advancing surgical skill and multidisciplinary working with colorectal surgeons, primary laparoscopically assisted segmental anterior resection of the rectum for extensive disease is becoming increasingly used as the treatment of choice. 19 The majority of the morbidity data associated with laparoscopic anterior resection come from oncological patients and reports anastomotic leakage rates as high as 13.5%. 20 This does not necessarily reflect endometriosis practice in younger fitter women, and small series have reported much lower leak rates.…”

Section: Discussionmentioning

confidence: 99%

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Urological and colorectal complications following surgery for rectovaginal endometriosis

Slack

Child

Lindsey

et al. 2007

BJOG

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Objectives To report the short-and medium-term complications of laparoscopic laser excisional surgery for rectovaginal endometriosis.Design Retrospective cohort study.Setting University teaching hospital, UK. Methods Women were identified from operative database, and a case note review was performed. Data for surgical outcome and surgical complications were collected.Main outcome measures Rates of urinary tract and colorectal complications.Results A total of 128 women underwent surgery. Of these, 32 required intraoperative closure of a rectal wall defect, including 3 segmental rectosigmoid resections. There were three rectovaginal fistulae and one ureterovaginal fistula. Ureteric damage occurred in two women, and five women suffered postoperative urinary retention. The risk of intraoperative bowel intervention was increased in women who complained of cyclical rectal bleeding.Conclusion Laparoscopic laser excision of rectovaginal endometriosis is a safe procedure with similar, if not lower, complication rates to other published surgical series.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Urological and colorectal complications following surgery for rectovaginal endometriosis

Slack

Child

Lindsey

et al. 2007

BJOG

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show abstract

“…Twenty-five percent of the cases in the laparoscopy group were converted to laparotomy. This is higher than the 7.8% reported in a literature review of women requiring colorectal resection for endometriosis [12][13][14][15][42][43][44][45][46]. Our relatively high incidence of conversion cannot be exclusively explained by the addition of hysterectomy to colorectal resection but by the inclusion of patients with high incidence of previous surgery for the same disorder and the presence of multiple locations of endometriosis.…”

Section: Discussioncontrasting

confidence: 75%

Laparoscopic versus laparotomic radical en bloc hysterectomy and colorectal resection for endometriosis

et al. 2010

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“…Porém trata-se de pequena casuística. Outros autores apresentaram casuísticas com bons resultados 7,10,12 . No presente estudo, esta técnica foi empregada em 18,2% dos casos sem complicações.…”

Section: Tipo Do Procedimento Freqüênciaunclassified

Tratamento laparoscópico de 98 pacientes com endometriose intestinal

Costa¹,

Ávila²,

Filogônio³

et al. 2010

Rev bras. colo-proctol.

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INTRODUÇÃOEndometriose é definida como a presença de tecido semelhante ao endométrio, com glândulas e estroma fora da cavidade uterina 1 . Sua etiologia é incerta. É uma doença sem limite geográfico de órgão, podendo comprometer vários sistemas. Em decorrên-cia disto seu tratamento deve ser multidiciplinar. O intestino normalmente é acometido pela endometriose profunda infiltrativa (EPI), uma forma especial de endometriose que penetra 5 mm ou mais abaixo da superfície peritonial, com localização nos tecidos fibromusculares 1 . A endometriose intestinal pode ocorrer em 5 a 27% das mulheres com endometriose, o reto e retossigmoide respondem por 70-93% das lesões intestinais 2 . Estas lesões podem ser assintomáticas, apresentarem sintomas semelhantes ao colon irritável ou em casos severos levarem até a obstrução intestinal 2 , 3 . Muitas mulheres com comprometimento intestinal sintomático também têm endometriose pélvica e queixam-se com freqüência de dismenorréia e dispaurenia.A visão atual é de que o mecanismo de dor na EPI parece ser multifatorial. Sangramentos cíclicos dentro das lesões podem ser responsáveis por aumento da pressão e dor, o que explica a melhora da dor com tratamentos que induzem a amenorréia. O processo fibrótico aderencial e invasivo da endometriose nos casos graves levando à fixação do reto, da junção retossigmoide, da cúpula vaginal e do colo pode também causar dor à defecação ou durante o coito. O te-

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Laparoscopic Management of Rectal Endometriosis

Cited by 54 publications

References 21 publications

Urological and colorectal complications following surgery for rectovaginal endometriosis

Urological and colorectal complications following surgery for rectovaginal endometriosis

Laparoscopic versus laparotomic radical en bloc hysterectomy and colorectal resection for endometriosis

Tratamento laparoscópico de 98 pacientes com endometriose intestinal

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