Combined transanal and laparoscopic approach for the treatment of deep endometriosis infiltrating the rectum

Bridoux, Valérie; Roman, Horace; Kianifard, B.; Vassilieff, Maud; Marpeau, L.; Michot, F; Tuech, Jean‐Jacques

doi:10.1093/humrep/der422

Cited by 36 publications

(20 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The occasional discovery of an asymptomatic DIE nodule should not always lead to surgery, only those lesions that give rise to symptoms should be surgically managed . Indeed, in agreement with other authors, we believe that the aim of surgical treatment should be the relief of pain as opposed to a compulsive resection of endometriotic lesions irrespective of the risks of post‐operative complications .…”

Section: Discussionsupporting

confidence: 85%

Robotic surgery for deep endometriosis: a paradigm shift

Siesto

Iedà

Rosati

et al. 2013

Robotics Computer Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 85%

Robotic surgery for deep endometriosis: a paradigm shift

Siesto

Iedà

Rosati

et al. 2013

Robotics Computer Surgery

View full text Add to dashboard Cite

show abstract

“…Depth of shaving is difficult to control in large infiltrations of the rectum (19), and the surgeon limits removing fibrous tissue up to the submucosa due to risk of postoperative fistula. Disc excision using the transanal end-to-end circular staplers is not feasible in large colorectal nodules, as the stapler cannot accommodate a volume of tissue exceeding 7 cmc (20,21). Disc excision using the transanal Contour Transtar stapler can be performed in large nodules of the lower and mid rectum, however their cranial limit must not be further than 8 cm from the anus (22).…”

Section: Increase In Area Of the Bowel Involvedmentioning

confidence: 99%

Colorectal endometriosis and pregnancy wish why doing primary surgery

Roman¹

2015

Front Biosci

View full text Add to dashboard Cite

One of the most interesting debates surrounding deep endometriosis concerns the management of patients with colorectal lesions and pregnancy intention, for which no strong first level of evidence data exists to recommend performing surgical excision of colorectal endometriosis or ART. Studies assessing the policy of primary IVF have recorded pregnancy rates inferior to 45% and estimated cumulative pregnancy rates after up to 3 cycles or IVF as high as 68%. Other authors have reported pregnancy rates over 60% in patients undergoing primary surgery for colorectal endometriosis, with spontaneous conception representing up to 60% of pregnancies. Although overall pregnancy rates appear roughly comparable in patients undergoing either IVF followed by surgery or surgery followed if required by IVF, questions remain as to whether delaying surgery for months or years impairs health. Delaying surgery may lead to bowel occlusion, higher rates of radical colorectal procedures, increased postoperative morbidity and prolonged painful complaints. To provide definitive answers requires a randomized trial on an international scale with a sample size exceeding 400 patients and follow up averaging 4 years.

show abstract

“…The Contour ® Transtar ® ‐STR5G (Ethicon EndoSurgery Inc., Cincinnati, Ohio, USA) was developed to perform stapled transanal rectal resection (STARR) . In 2009, its use was extended to endometriotic nodules involving the low and mid rectum . The procedure requires paring the nodule attached to the rectum during an initial laparoscopical step, resulting in the removal of 80–90% of the lesion.…”

Section: Introductionmentioning

confidence: 99%