Laparoscopic Rectal Resection of Deep Infiltrating Endometriosis

Jelenc, Franc; Ribič-Pucelj, Martina; Juvan, Robert; Kobal, Borut; Šinkovec, Jasna; Šalamun, Vesna

doi:10.1089/lap.2011.0307

Cited by 33 publications

(24 citation statements)

References 28 publications

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“…One of the women in our series out of the 19 who underwent colorectal resection, developed an anastomotic leakage. This data is consistent with the available literature that reports an overall complication rate after colorectal resection up to 14%, also in large series of laparoscopic colorectal resections for DIE .…”

Section: Discussionsupporting

confidence: 93%

Robotic surgery for deep endometriosis: a paradigm shift

Siesto

Iedà

Rosati

et al. 2013

Robotics Computer Surgery

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Section: Discussionsupporting

confidence: 93%

Robotic surgery for deep endometriosis: a paradigm shift

Siesto

Iedà

Rosati

et al. 2013

Robotics Computer Surgery

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“… and Jelenc et al. performed laparoscopic segmental resection in 89 and 93%, respectively, with local discoid excision in the remaining cases. SPR after surgery ranged from 21 to 69%, with 49% for the four retrospective studies added together.…”

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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“…Operative therapy among patients with rectovaginal endometriosis may be associated with highly morbid conditions including rectovaginal fistulas, a temporary or definitive artificial anus, and anastomosis insufficiency [14], in addition to considerable blood loss, blood transfusion, or the need for laparoconversions [4–9,11,15–19]. Because autonomic nerve structures in the pelvis are located in the operative field, there is also a risk of impairment of the autonomic bladder and bowel function.…”

Section: Discussionmentioning

confidence: 99%