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Clinical Outcome after Colonic Resection in Women with Endometriosis.

Klugsberger B, Shamiyeh A, Oppelt P, Jabkowski C, Schimetta W, Haas D - Biomed Res Int (2015)

Bottom Line: Information about the postoperative outcome was obtained from 22 women and was analyzed statistically.Major complications occurred in one patient, including an anastomotic leakage, and a Hartmann procedure was carried out subsequently in this patient.The symptoms of pain during defecation, pelvic pain, dyspareunia, dysmenorrhea, and hematochezia showed clear improvement one year after the operation and at the time of the questionnaire.

View Article: PubMed Central - PubMed

Affiliation: Second Surgical Department, Ludwig Boltzmann Institute for Surgical Laparoscopy, Academic Teaching Hospital, Linz General Hospital, 4021 Linz, Austria ; Faculty of Medicine, Johannes Kepler University, 4040 Linz, Austria.

ABSTRACT

Background: In severe forms of endometriosis, the colon or rectum may be involved. This study evaluated the functional results and long-term outcome after laparoscopic colonic resection for endometriosis.

Patients and methods: Questionnaire survey with 24 women who had experienced typical symptoms, including pelvic pain, infertility, and endometriotic lesions in the bowel and undergone laparoscopic surgery, including low anterior resection, from 2009 to 2012, was conducted.

Results: Information about the postoperative outcome was obtained from 22 women and was analyzed statistically. Twenty-one had undergone low anterior resection; one patient required a primary Hartmann procedure due to a rectovaginal fistula. The conversion rate was 4.5%. Major complications occurred in one patient, including an anastomotic leakage, and a Hartmann procedure was carried out subsequently in this patient. The symptoms of pain during defecation, pelvic pain, dyspareunia, dysmenorrhea, and hematochezia showed clear improvement one year after the operation and at the time of the questionnaire.

Conclusion: Laparoscopic low anterior resection for deeply infiltrative endometriosis is technically demanding but feasible and safe, and it improves the clinical symptoms of endometriosis in the bowel.

No MeSH data available.


Related in: MedlinePlus

The Enzian classification.
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fig1: The Enzian classification.

Mentions: Approval for the study from the local institutional ethics committee was obtained on April 9, 2014 (ref. numberL-17-14). An analysis was carried out of the data for 24 patients who had undergone laparoscopic rectal resection for deeply infiltrating endometriosis between January 1, 2009, and December 31, 2012, at the Departments of General Surgery and Gynecology at the General Hospital in Linz, Austria. Endometriosis was confirmed histologically after laparoscopic surgery. All of the operations were carried out by the same team of four visceral surgeons (each of whom had previously carried out at least 100 laparoscopic colonic resections) and four gynecologists (each of whom had previously carried out at least 200 laparoscopies). The patients were classified postoperatively using the Enzian classification (Figure 1).


Clinical Outcome after Colonic Resection in Women with Endometriosis.

Klugsberger B, Shamiyeh A, Oppelt P, Jabkowski C, Schimetta W, Haas D - Biomed Res Int (2015)

The Enzian classification.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4518181&req=5

fig1: The Enzian classification.
Mentions: Approval for the study from the local institutional ethics committee was obtained on April 9, 2014 (ref. numberL-17-14). An analysis was carried out of the data for 24 patients who had undergone laparoscopic rectal resection for deeply infiltrating endometriosis between January 1, 2009, and December 31, 2012, at the Departments of General Surgery and Gynecology at the General Hospital in Linz, Austria. Endometriosis was confirmed histologically after laparoscopic surgery. All of the operations were carried out by the same team of four visceral surgeons (each of whom had previously carried out at least 100 laparoscopic colonic resections) and four gynecologists (each of whom had previously carried out at least 200 laparoscopies). The patients were classified postoperatively using the Enzian classification (Figure 1).

Bottom Line: Information about the postoperative outcome was obtained from 22 women and was analyzed statistically.Major complications occurred in one patient, including an anastomotic leakage, and a Hartmann procedure was carried out subsequently in this patient.The symptoms of pain during defecation, pelvic pain, dyspareunia, dysmenorrhea, and hematochezia showed clear improvement one year after the operation and at the time of the questionnaire.

View Article: PubMed Central - PubMed

Affiliation: Second Surgical Department, Ludwig Boltzmann Institute for Surgical Laparoscopy, Academic Teaching Hospital, Linz General Hospital, 4021 Linz, Austria ; Faculty of Medicine, Johannes Kepler University, 4040 Linz, Austria.

ABSTRACT

Background: In severe forms of endometriosis, the colon or rectum may be involved. This study evaluated the functional results and long-term outcome after laparoscopic colonic resection for endometriosis.

Patients and methods: Questionnaire survey with 24 women who had experienced typical symptoms, including pelvic pain, infertility, and endometriotic lesions in the bowel and undergone laparoscopic surgery, including low anterior resection, from 2009 to 2012, was conducted.

Results: Information about the postoperative outcome was obtained from 22 women and was analyzed statistically. Twenty-one had undergone low anterior resection; one patient required a primary Hartmann procedure due to a rectovaginal fistula. The conversion rate was 4.5%. Major complications occurred in one patient, including an anastomotic leakage, and a Hartmann procedure was carried out subsequently in this patient. The symptoms of pain during defecation, pelvic pain, dyspareunia, dysmenorrhea, and hematochezia showed clear improvement one year after the operation and at the time of the questionnaire.

Conclusion: Laparoscopic low anterior resection for deeply infiltrative endometriosis is technically demanding but feasible and safe, and it improves the clinical symptoms of endometriosis in the bowel.

No MeSH data available.


Related in: MedlinePlus