Long-term functional outcomes following colorectal resection versus shaving for rectal endometriosis

Long‐term evaluation of painful symptoms and fertility after surgery for large rectovaginal endometriosis nodule: a retrospective study

“…Mabrouk et al also reported no differences in SF‐36 scores between patients who underwent shaving or resection surgery . Furthermore, in our study, postoperative GIQLI scores obtained for the two groups remained below normal values (score: 125) , consistent with those obtained by Roman et al , with the GIQLI score in the SG far higher than in the RG. Though no preoperative evaluation using a QoL questionnaire was undertaken by the authors, these data suggest that after radical surgery, digestive symptoms continue to affect QoL.…”

“…In 2005, Mohr et al analyzed medical records from 187 patients treated laparoscopically for intestinal endometriosis, identifying a complication rate of 38% for segmental resection. Roman et al reported a 4% ( n = 1) rate of fistulae, 12% secondary surgery for presumed pelvic abscess and 12% bladder atony for more than 1 month requiring daily catheterization for the RG ( n = 25); while results for the SG revealed a 2.2% rate of fistula, 10.9% secondary surgery for presumed pelvic abscess and 2.2% bladder atony for more than month requiring daily catheterization. For the RG, although our complication rates appear high they remain in line with other previously reported data.…”

Transrectal high‐intensity focused ultrasound as focal therapy for posterior deep infiltrating endometriosis

“…0.58 mm in longitudinal diameter, 1 mm in transverse diameter and 6.4 mm in acoustic axis), is created for each pulse of energy. The risk of fistulae in prostate cancer treated with HIFU is estimated to be 0.13% and is lower than the risk of 1.6–2.8% reported in the surgical management of rectal DIE.…”

Nerve Sparing and Surgery for Deep Infiltrating Endometriosis: Pessimism of the Intellect or Optimism of the Will

“…25,26 The prevalence of postoperative constipation is high in patients managed by colorectal resection and report lesser satisfactory gastrointestinal scores when compared with those treated by rectal shaving. 27 However, in patients managed by rectal shaving or disc excision, preoperative constipation scores are not significantly improved by the surgery itself. 28 This demonstrates the complexity of the digestive function in which impairment cannot be defined by a single responsible factor.…”