The early outcome of laparoscopic sigmoid and rectal resection for endometriosis

Kössi, Jyrki; Setälä, Marjaleena; Enholm, Berndt; Luostarinen, Markku

doi:10.1111/j.1463-1318.2009.01923.x

Cited by 26 publications

(17 citation statements)

References 23 publications

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“…The advent of laparoscopic bowel resection with its well-demonstrated short-term advantages has made the surgical treatment option more attractive. Indeed, recent publications have suggested that laparoscopic colorectal resection for endometriosis is safe and that recovery is rapid [4,[8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Quality of life and sexual function 1 year after laparoscopic rectosigmoid resection for endometriosis

Kössi¹,

Setälä

Mäkinen

et al. 2012

Colorectal Disease

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Section: Introductionmentioning

confidence: 99%

Quality of life and sexual function 1 year after laparoscopic rectosigmoid resection for endometriosis

Kössi¹,

Setälä

Mäkinen

et al. 2012

Colorectal Disease

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“…The two major complications of the surgical treatment of intestinal DIE are anastomotic leakage and rectovaginal fistula [15, 16, 19–21]. Anastomotic dehiscence and leakage seem to occur after segmental bowel resection in 3% to 7% of cases and up to 20% in low rectal anastomosis [22, 23].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Healing of a Rectovaginal Fistula Developing after Laparoscopic Segmental Bowel Resection for Intestinal Deep Infiltrating Endometriosis

Kondo

Ribeiro

Trippia³

et al. 2013

Case Reports in Obstetrics and Gynecology

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The surgical treatment of intestinal deep infiltrating endometriosis has an associated risk of major complications such as dehiscence of the intestinal anastomosis, pelvic abscess, and rectovaginal fistula. The management of postoperative rectovaginal fistula frequently requires a reoperation and the construction of a stoma for temporary fecal diversion. In this paper we describe a 27-year-old woman undergoing laparoscopic treatment of deep infiltrating endometriosis (extramucosal cystectomy, resection of the uterosacral ligaments, resection of the posterior vaginal fornix, and segmental bowel resection) complicated by a rectovaginal fistula, which healed spontaneously with nonsurgical conservative treatment.

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“…Kljub naraščajočemu številu poročil o uspešnosti in varnosti laparoskopske resekcije črevesa (20,21,22) pa ostaja odprto vprašanje, ali je laparoskopska resekcija rektosigme pri simptomatski GIE črevesa upravičena. Številni avtorji poročajo, da so bolj konzervativni posegi, kot sta postrganje (shaving) in izrezanje nodusa ali diskoidna resekcija, enako učin-koviti, z manj resnimi zapleti ter krajšim časom operiranja (17,23,24).…”

Section: Razpravljanjeunclassified

Kakovost življenja pred in po laparoskopski resekciji črevesa zaradi globoke infiltrativne endometrioze

2017

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Background: Te purpose of the study was to determine the quality of life in patients with bowel endometriosis before and afer laparoscopic bowel resection.Material and methods: In the retrospective study we included 91 patients who underwent laparoscopic resection of the bowel aﬀected by endometriosis at the Unit for Reproduction and the Unit for Gynecology, Department of Obstetrics and Gynecology Ljubljana, in the period from 2002 to 2011. Te study was retrospective. Te patients were sent a questionnaire regarding the symptoms before surgery and the eﬀect of surgery on bowel symptoms, painful menstruation, painful sexual intercourse, chronic pelvic pain and quality of life before and afer surgery; 76 (83.5 %) patients replied to the questionnaire.Results: Before surgery, 72 (94.7 %) patients reported painful menstruation. Improvement or complete relief afer surgery was registered in 57 (79.1 %). Out of 60 (78.9 %) patients who had painful sexual intercourse before surgery, 49 (81.7 %) reported improvement or complete relief afer surgery. Bowel symptoms, present in 52 (68.4 %) patients before surgery, improved or completely disappeared in 48 (92.4 %) afer surgery. Chronic pelvic pain, present in 53 (69.7 %) before surgery, decreased or did not exist any more in 45 patients (86.5 %). Te quality of life before surgery was very poor in 32 patients (42.1 %), and poor in 21 patients (27.8 %). Afer the operation, the quality of life was reported as improved in 22 (28.9 %) and signifcantly improved in 42 (55.3 %).Conclusions: Laparoscopic bowel resection, indicated in extensive symptomatic endometriosis, signifcantly improves the patients’ quality of life.

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The early outcome of laparoscopic sigmoid and rectal resection for endometriosis

Abstract: Laparoscopic rectal and sigmoid resection for deep intestinal endometriosis is safe with few severe complications and rapid recovery. The long-term outcome on symptoms requires further study.

Cited by 26 publications

References 23 publications

Quality of life and sexual function 1 year after laparoscopic rectosigmoid resection for endometriosis

Quality of life and sexual function 1 year after laparoscopic rectosigmoid resection for endometriosis

Spontaneous Healing of a Rectovaginal Fistula Developing after Laparoscopic Segmental Bowel Resection for Intestinal Deep Infiltrating Endometriosis

Kakovost življenja pred in po laparoskopski resekciji črevesa zaradi globoke infiltrativne endometrioze

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