Laparoscopic sigmoid resection with transrectal specimen extraction: a novel technique for the treatment of bowel endometriosis

Wolthuis, A.; Meuleman, Christel; Tomassetti, Carla; D’Hooghe, Thomas; Fieuws, Steffen; Penninckx, Freddy; D’Hoore, André

doi:10.1093/humrep/der072

Cited by 48 publications

(37 citation statements)

References 33 publications

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“…There was higher risk of developing SSI in the transanal approach than in the transverse incision approach [53] for specimen retrieval (Table 4). One study [54] reported specimen retrieval through the stoma site in comparison with a transanal approach, and reported no difference in SSI.…”

Section: Resultsmentioning

confidence: 99%

Specimen retrieval approaches in patients undergoing laparoscopic colorectal resections: a literature-based review of published studies

Sajid

Bhatti

Sains

et al. 2014

Gastroenterology Report

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Objective: To review the published studies reporting various specimen retrieval incisions being used by colorectal surgeons in patients undergoing laparoscopic colorectal resections (LCR).Methods: Standard medical electronic databases were searched to find relevant articles and a summary conclusion was generated.Results: There were 43 studies reporting various approaches used for the purpose of specimen retrieval in 2388 patients undergoing LCR. The most common approaches were periumbilical midline incision (1260 reported case in the literature), transverse incision (583 reported cases in the literature) in the right- or left iliac fossa, depending on the side of colonic resection, and Pfannensteil incision (293 reported cases in the literature). Periumbilical midline incision was associated with the higher risk of developing incisional hernia (odds ratio 53.72; 95% confidence interval 7.48–386.04; Z = 3.96; P = 0.0001). In terms of surgical site infection (SSI), there was no difference between the three common approaches to specimen retrieval. Transanal and transvaginal approaches were associated with higher risk of SSI.Conclusions: Midline, transverse and Pfannensteil incisions were the most commonly used approaches for specimen retrieval following LCR. Midline incision was associated with higher risk of incisional hernia. Risk of SSI was similar in all three common approaches. The transanal and transvaginal approaches pose a higher risk of SSI. These conclusions are based on the combined outcome of published case series, case reports and comparative studies. Randomized, controlled trials with longer follow-up are required before recommending the routine use of any approach for specimen retrieval in patients undergoing LCR.

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Section: Resultsmentioning

confidence: 99%

Specimen retrieval approaches in patients undergoing laparoscopic colorectal resections: a literature-based review of published studies

Sajid

Bhatti

Sains

et al. 2014

Gastroenterology Report

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“…Each subscale has a set of 4-point categorical rating items and one overall assessment item. The number of questions in each subscale determines the score range as follows: appearance (9-36), symptoms (6-24), consciousness (6-24), satisfaction with appearance (8-32) and satisfaction with symptoms (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). The overall assessment score ranges from 1 to 5 for appearance and symptoms and from 1 to 4 for the remaining three subscales.…”

Section: Patient Scar Assessment Questionnairementioning

confidence: 99%

How do patients score cosmesis after laparoscopic natural orifice specimen extraction colectomy?

et al. 2015

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“…A specimen eltávolítása után a distalis bélvég varrógéppel lezárható. A proximalis bélvégbe laparoszkóposan dohányzacskóöl-tést helyezve, a varrógép fejének behelyezése után, az anastomosis a szokott módon intracorporalisan elvégez-hető [2] (3. ábra). Ezt a módszert 120, bélendometri-osis miatt végzett multidiszciplinárisan laparoszkópos műtétből 5 alkalommal alkalmaztuk.…”

Section: Transrectalis Specimeneltávolítás Endometriosis Miatt Végzetunclassified

Reducing invasiveness of laparoscopic surgery using natural orifices and abdominal wall defects for extraction of the specimen

Lukovich

Bokor

2015

Orvosi Hetilap

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Bevezetés: A laparoszkópos sebészet fejlődésével ma már bonyolult műtétek is elvégezhetőek, a specimen eltávolításá-hoz azonban gyakran laparotomiára van szükség, ami csökkenti a laparoszkópia előnyeit. Célkitűzés: A közleményben a szerzők e témában szerzett saját tapasztalataikról számolnak be. Módszer: A szerzők 2009 óta azokban az esetekben, amikor a viscerotomia a műtét elkerülhetetlen része volt, a természetes szájadékokat (gyomor, hüvely, végbél), illetve egyes gastrointestinalis laparoszkópos beavatkozásoknál a lágyéksérv kapuját használták fel a specimen eltávolítására. Eredmények: Gyomor benignus elváltozása miatt 3 alkalommal végezték a specimen gasztroszkópos eltávolítását. Belet infi ltráló endometriosis miatt 6 esetben transvaginalisan (amikor teljes hüvelyfalkimetszésre volt szükség), 5 esetben pedig transrectalisan távolították el a reszekált belet. 2 esetben laparoszkópos szigmabélreszekciónál a lágyék-sérv kapuját használták fel a specimen eltávolítására, egy betegnél a sérvkapuba helyezett single porton keresztül vé-geztek laparoszkópos cholecystectomiát. Szövődményt kizárólag az endometriosis miatt végzett transvaginalis specimen eltávolításánál észleltek, ahol a műtét után 2 esetben alakult ki rectovaginalis fi stula. Következtetések: A specimen eltávolításához a természetes szájadékokat, hasfali defektusokat felhasználva -megfelelő indikációval -az invazivitás tovább csökkenthető. Orv. Hetil., 2015, 156(14), 552-557.Kulcsszavak: természetes szájadékokon keresztüli specimeneltávolítás (NOSE), transgastricus, transrectalis, transvaginalis, transhernialis specimeneltávolítás Reducing invasiveness of laparoscopic surgery using natural orifi ces and abdominal wall defects for extraction of the specimenIntroduction: Due to signifi cant technical evolution complex surgeries can be performed laparoscopically nowadays. However, laparotomy is needed frequently for the extraction of the specimen, which decreases the advantages of laparoscopy. Aim: The aim of the authors was to analyse and present their experience on the use of natural orifi ces and abdominal wall defects for extraction of the surgical specimen. Method: From 2009 the authors used natural orifi ces (stomach, vagina, rectum) when viscerotomy was an obligate part of laparoscopic surgery and, in a special gastrointestinal laparoscopic operation, the gate of the inguinal hernia for specimen extraction. Results: In 3 patients benign lesions of the stomach were extracted using gastroscope. In 6 patients with bowel endometriosis, in whom the wall of the vagina was completely infi ltrated, the resected bowel was extracted transvaginally, and in 5 patients transrectal extraction of the specimen was performed. In 2 patients the inguinal hernia was used for the surgical specimen extraction after laparoscopic sigmoid resection, and in one patient a single-port was inserted into the gate of the hernia during laparoscopic cholecystectomy. Complications occurred only after transvaginal specimen extraction (rectovaginal fi stula in 2 patients). Conclusi...

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Laparoscopic sigmoid resection with transrectal specimen extraction: a novel technique for the treatment of bowel endometriosis

Abstract: Full laparoscopic sigmoid resection reduced operating times and decreased post-operative VAS-scores and analgesic requirements compared with the conventional laparoscopic sigmoid resection for bowel endometriosis.

Cited by 48 publications

References 33 publications

Specimen retrieval approaches in patients undergoing laparoscopic colorectal resections: a literature-based review of published studies

Specimen retrieval approaches in patients undergoing laparoscopic colorectal resections: a literature-based review of published studies

How do patients score cosmesis after laparoscopic natural orifice specimen extraction colectomy?

Reducing invasiveness of laparoscopic surgery using natural orifices and abdominal wall defects for extraction of the specimen

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