Bowel dysfunction before and after surgery for endometriosis

Comparison of Complete and Incomplete Excision of Deep Infiltrating Endometriosis

“…managed by colorectal resection [25][26][27][28], leaks increase to 15% or more and carry a lifelong risk of bowel, bladder, and sexual problems of 30%, 30%, and 40%, respectively [23,24,29]. It is unclear whether a greater or similar health improvement can be achieved with palliative surgery.…”

“…Studies show that two surgical philosophies or approaches are usually used: the radical philosophy mainly based on colorectal resection, and the approach prioritizing conservation of the rectum. The latter may be performed without opening the rectum (shaving) or by removing the nodule along with surrounding rectal wall (full-thickness or disc excision) [23,24].…”

Identical Ovarian and Deep Pelvic Endometriosis with Colorectal Involvement in Monozygotic Twins: A Case Report and Review of the Literature

“…Adequate surgical excision of the lesions provides the best long-term results and symptomatic relief [31][32][33][34] but surgical treatment of colorectal endometriosis has been quite controversial, and there is no consensus on whether the treatment should be conservative (shaving or discoid resection) or radical (segmental bowel resection and anastomosis) [35]. Lately, there has been a great deal of effort to advocate shaving as the treatment of choice, mainly because of higher early and late complications in segmental colorectal resection [36]. The efficacy of segmental colorectal resection is very debatable; data in this regard is controversial and, to a great deal, dependent upon the surgeon's experience [37,38].…”

Laparoscopie robot-assistée pour endométriose colorectale : morbidité de la résection digestive et du shaving

“…Pour ces deux femmes, les symptômes n'é taient pas pré sents avant l'intervention et il n'a pas é té mis en é vidence de sté nose au niveau de l'anastomose à l'imagerie. Ce type de signes fonctionnels digestifs apparus aprè s ré section digestive pour de l'endomé triose digestive avait dé jà é té dé crit auparavant par Roman et al [14]. Il pourrait s'agir de douleur mé canique secondaire à l'anastomose, complication non dé crite aprè s des ré sections digestives indiqué es pour d'autres pathologies que l'endomé triose.…”