94 months follow-up after laparoscopic assisted vaginal resection of septum rectovaginale and rectosigmoid in women with deep infiltrating endometriosis

Kavallaris, Andreas; Chalvatzas, Nektarios; Hornemann, Amadeus; Banz, C.; Diedrich, K.; Agic, Admir

doi:10.1007/s00404-010-1499-9

Cited by 33 publications

(37 citation statements)

References 23 publications

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“… performed laparoscopic segmental colorectal resection in all patients, whereas Kavalleris et al. used a combined laparoscopic and vaginal approach for en bloc resection of the affected bowel segment, cul de sac, rectovaginal septum and vaginal wall. Meuleman et al.…”

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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“…Likewise, they noted that the possibility of treating peritoneal and ovarian endometriomas without excising the rectovaginal plaques should be considered, particularly in women with limited pain. However, a growing body of literature describes colorectal resection for severe endometriosis,10–15 particularly procedures involving a laparoscopically assisted technique. Meanwhile, others16 suggest that a laparoscopic resection of rectovaginal endometriosis may be associated with a higher incidence of complications than resection performed for other diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Is a bowel resection necessary for deep endometriosis with rectovaginal or colorectal involvement?

Acién¹,

Núñez²,

Quereda³

et al. 2013

IJWH

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BackgroundThe purpose of this paper is to report the long-term results of surgery without bowel resection in patients suffering from deep infiltrating endometriosis with rectovaginal or colorectal involvement.MethodsThis retrospective observational study identified 42 patients suffering with deep infiltrating endometriosis who underwent surgery. Conservative surgery was performed in 23 women (only one of them with bowel resection), and 19 women underwent a hysterectomy and bilateral salpingo-oophorectomy (HBSO). In the conservative surgery group, a later HBSO was performed in eight patients as a second operation. Pregnancies, recurrences, reoperations, use of hormone replacement therapy, and outcomes during long-term follow-up were analyzed.ResultsThe average follow-up duration was 7 ± 5.7 years in conservative surgery cases. Only one patient was treated with sigmoid bowel resection in 1997 and had complications. In this conservative surgery group, 13 patients (56%) received medical treatment after surgery, 10 patients wanted to get pregnant (of whom seven [70%] were successful), and eight patients underwent a subsequent HBSO because of recurrent symptoms and/or endometrioma. Therefore, HBSO was performed in 27 patients, of whom 14 (51.8%) used hormone replacement therapy for 5.6 ± 3.6 years. No recurrences or complications were observed in patients after HBSO with or without hormone replacement therapy.ConclusionGood clinical results can be obtained by performing only conservative surgery and/or HBSO without bowel resection, an alternative that could reduce the number of colorectal resections that are performed very frequently nowadays. After HBSO, patients may use hormone replacement therapy for several years with total satisfaction and well-being.

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“…In a literature review of VD in patients with DIE, Bonneau et al reported that the rate of persistent VD ranges from 0% to 14.7% with a mean value of 4.6% (66/1430 patients) [7]. In a prospective study of 55 patients undergoing en bloc rectovaginal septum resection with a median follow-up of 94 months, Kavallaris et al observed that among 14 patients with postoperative VD only two required self-catheterization over a year [20]. Similarly, Benbara et al confirmed that only 2% of patients required self-catheterization over a year after surgery [21].…”

Section: Commentsmentioning

confidence: 98%

Contribution of sacral neuromodulation to manage persistent voiding dysfunction after surgery for deep infiltrating endometriosis with colorectal involvement: preliminary results

Timoh

Canlorbe

Vérollet

et al. 2015

European Journal of Obstetrics & Gynecology and Reproductiv

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94 months follow-up after laparoscopic assisted vaginal resection of septum rectovaginale and rectosigmoid in women with deep infiltrating endometriosis

Cited by 33 publications

References 23 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

Is a bowel resection necessary for deep endometriosis with rectovaginal or colorectal involvement?

Contribution of sacral neuromodulation to manage persistent voiding dysfunction after surgery for deep infiltrating endometriosis with colorectal involvement: preliminary results

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