Laparoscopic Management of Bowel Endometriosis: Predictors of Severe Disease and Recurrence

Abstract

This study suggests that laparoscopic management of bowel endometriosis can be safe and effective. Two statistically significant predictors of higher stage disease were identified that showed the need for careful surgical planning.

Incomplete Small Bowel Obstruction Due to Isolated Ileal Endometriosis: A Mimic of Tuberculosis

“…GIT endometriosis was first described by Sampson in 1922 [2]. Bowel endometriosis occurs as an ''invasion phenomenon''-implantation begins on the serosa and may invade into the inner layers (muscularis propria, submucosa; mucosa is rarely affected) [3].…”

“…Extraperitoneal disease may be seen in the cervix, vagina, abdominal scars and hernia sacs, and is uncommon. Rarely, endometriosis affects the urinary system, lungs, skin, diaphragm and central nervous system [1,2].…”

“…The GIT is involved in 3-37 % of the females with endometriosis; the most common site being the rectosigmoid colon (72 %) followed by ileum (7 %), cecum (3.6 %) and appendix (3 %) [1][2][3]. Usually, the disease takes the form of small asymptomatic serosal implants, but these can progress and become symptomatic.…”

“…Usually, the disease takes the form of small asymptomatic serosal implants, but these can progress and become symptomatic. The symptoms are usually chronic and cyclical (occurring at the time of menses) [1][2][3]. Acute presentations such as intestinal obstruction, appendicitis, appendicular intussusception, rectal bleeding and bowel perforation are relatively uncommon.…”

Use of laparoscopic modified nerve-sparing radical hysterectomy for the treatment of extensive endometriosis

“…Several authors have described radical surgery by laparoscopic excision of all detected endometriosis, while conserving non-involved structures to achieve improvement in quality of life [3][4]. This technique can often require an extensive laparoscopic "en bloc" resection of the area between the uterosacral ligaments, rectovaginal septum, and anterior rectum [5].…”