Use of the CEEA Stapler to Avoid Ultra-Low Segmental Resection of a Full-Thickness Rectal Endometriotic Nodule

Gordon, Stephen; Maher, Peter; Woods, R.

doi:10.1016/s1074-3804(05)60598-1

Cited by 37 publications

(18 citation statements)

References 11 publications

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“… applied laparoscopic segmental resection, whereas Roman et al. used the new Rouen technique introduced by this group for transanal stapler excision in 20 patients. In the remaining 30 patients the transanal circular stapler method was used.…”

Section: Resultsmentioning

confidence: 99%

Does surgery for deep infiltrating bowel endometriosis improve fertility? A systematic review

Iversen

Seyer‐Hansen

Forman

2017

Acta Obstet Gynecol Scand

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Introduction. Reduced fertility is a major concern in women with endometriosis. The influence of surgery of deep infiltrating endometriosis (DIE) affecting the bowel wall on fertility is controversial and the literature on this field is heterogeneous. In this review we addressed whether surgery for bowel DIE improves the spontaneous pregnancy rate, and the results of in vitro fertilization (IVF), and the potential risk of such surgery. Material and methods. We conducted a literature search including the terms "deep", "deep infiltrating", "bowel", rectovaginal", "endometriosis", "fertility", "infertility" and "IVF" in PubMed. Results. No randomized controlled studies were found. Other publications of relevance included four retrospective and three prospective observational studies. Moreover, one retrospective study compared results of IVF treatment with or without previous surgery for bowel DIE. All studies reported detailed data on surgical complications. The poor data quality precluded firm conclusions. The results indicate, however, the possibility that surgery for bowel DIE may improve the spontaneous pregnancy rate, and positive effects on IVF outcome cannot be excluded. Such surgery will be associated with risk of major complications. Conclusion. The lack of proper data precludes conclusions on the potential role for bowel DIE surgery to improve the spontaneous pregnancy rate and results of IVF treatment. Positive effects cannot be excluded, but the definite risk of major complications must be taken into account.

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Section: Resultsmentioning

confidence: 99%

Does surgery for deep infiltrating bowel endometriosis improve fertility? A systematic review

Iversen

Seyer‐Hansen

Forman

2017

Acta Obstet Gynecol Scand

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“…28 (Covidien ® , USA) followed by an air leak test. In March 2013, our group adopted a previously described technique [27] where a circular stapler ch. 33 (Ethicon ® , USA) was used for local excision of anterior wall nodules, thus avoiding a segmental resection and potentially low anastomosis.…”

Section: Methodsmentioning

confidence: 99%

Diagnostic Value of Serial Measurement of C-Reactive Protein in the Detection of a Surgical Complication after Laparoscopic Bowel Resection for Endometriosis

Riiskjær¹,

Forman²,

Kesmodel

et al. 2016

Gynecol Obstet Invest

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Aims: The study aimed to assess the diagnostic value of serial monitoring of biochemical inflammatory markers (C-reactive protein (CRP) and white blood cell (WBC) count) in the postoperative diagnosis of anastomotic leakage or ureteral injury after bowel resection for deep infiltrating endometriosis. Methods: This is a review of prospectively collected data from 217 patients who underwent laparoscopic bowel resection for endometriosis from January 2009 to April 2015. Patients with an anastomotic leakage or ureteral injury were identified and classified. Results: The frequency of anastomotic leakage requiring reoperation was 8.3%. The frequency of ureteral injury was 4.6%. Median time to diagnosis was 6 days for anastomotic leakage and 8 days for ureteral injury. The daily mean values of serum CRP were significantly higher in patients with a surgical complication starting at the second postoperative day (POD 2, p = 0.004). WBC was significantly higher (p < 0.05) on POD 2 and 3 in patients with a surgical complication. A decrease in CRP from POD 1 to 3 predicted an uncomplicated course in 92.1% of the cases. Conclusion: A decrease in CRP from POD 1 to 3 was an indicator of uncomplicated subsequent postoperative course. The test is recommended when early discharge after rectal resection for deep infiltrating endometriosis is considered.

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“…This technique has been proposed to excise low rectal lesions when the disease is not greater than one-third of the circumference of the rectum and no greater than 2 cm in length (42,43). After mobilizing the rectum around the lesion, the stapler is inserted trasanally and carefully opened 1-2 cm with the area to be excised lying in the hollow between the anvil and the stapler.…”

Section: Full Thickness Disc Resection Using the Circular Staplermentioning

confidence: 99%

Bowel Endometriosis: Presentation, Diagnosis, and Treatment

Remorgida

Ferrero

Fulcheri

et al. 2007

Obstetrical &Amp; Gynecological Survey

280

190

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Use of the CEEA Stapler to Avoid Ultra-Low Segmental Resection of a Full-Thickness Rectal Endometriotic Nodule

Cited by 37 publications

References 11 publications

Does surgery for deep infiltrating bowel endometriosis improve fertility? A systematic review

Does surgery for deep infiltrating bowel endometriosis improve fertility? A systematic review

Diagnostic Value of Serial Measurement of C-Reactive Protein in the Detection of a Surgical Complication after Laparoscopic Bowel Resection for Endometriosis

Bowel Endometriosis: Presentation, Diagnosis, and Treatment

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