Complications Associated With Two Laparoscopic Procedures Used in the Management of Rectal Endometriosis

Abstract

This study suggests that bladder and rectal dysfunction occur more frequently with colorectal resection in rectal endometriosis compared with excision of the nodules alone.

The treatment of rectal endometriosis and the role of laparoscopic surgery

“…Of course, as with lapoconversion, more extensive surgery to the rectum would definitely mean higher complication rates [40 ,42 ]. In that case, statistically significant postoperative bladder atony and major constipation occurred in 20 and 27% of patients with colorectal resection, respectively, versus 0% for both complications in cases with disc excision of the endometriotic nodule [42 ]. Other complications for the procedure include anastomosis leakage, pelvic abscess, rectal bleeding, which may require blood transfusion, vaginal or uterine perforation, bladder or ureteral injury, small bowel injury, and motor nerve palsies.…”

“…Additionally Juhasz-Bö ss et al [21] in 2010 showed 50% improvement in dysmenorrhea, 75% disappearance in dyspareunia, and pelvic pain. Nevertheless, patient satisfaction was also noted where patients recommended similar surgery for other women in 80-100% of the cases [42 ]. Even in rare conditions wherein there was somatic and pelvic nerve involvement, laparoscopic nerve sparing procedures proved effective without causing nerve injury while offering remarkably satisfactory results [50].…”

Pelviperitonitis by colorectal perforation in the third trimester of pregnancy after surgery for deep pelvic endometriosis

“…It is important to note that severe constipation was observed only in the women treated with colorectal resection. In another comparative study, Roman et al (11) reported anastomotic leakage in 6% of cases after colorectal resection, whereas no major complications were observed in the nodule excision group.…”

Résections rectosigmoïdiennes cœlioscopiques pour endométriose digestive : résultats chirurgicaux et fonctionnels

“…Si la pertinence du traitement chirurgical en cas de retentissement sur la qualité de vie est actuellement établie, le débat concerne actuellement le choix de la technique chirurgicale. Deux approches différentes sont couramment employées : d'une part, les résections colorectales segmentaires et d'autre part l'exérèse du nodule endométriosique avec ou sans ouverture du sigmoïde ou du rectum [11,12].…”