1. Risk of Postoperative Stenosis after Segmental Resection versus Disk Excision for Deep Endometriosis Infiltrating the Rectosigmoid: A Retrospective Study
- Author
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Jean Jacques Tuech, Antoine Scattarelli, Valérie Bridoux, Julien Coget, Sophia Braund, Clotilde Hennetier, Clemence Klapczynski, Horace Roman, Expert Center in the Diagnosis and Multidisciplinary Management of Endometriosis = Le Centre expert de diagnostic et de prise en charge multidisciplinaire de l’endométriose de Rouen, CHU Rouen, Normandie Université (NU), UNIROUEN - UFR Santé (UNIROUEN UFR Santé), Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU), Service de chirurgie digestive [CHU Rouen], Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Nutrition, inflammation et dysfonctionnement de l'axe intestin-cerveau (ADEN), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institute for Research and Innovation in Biomedicine (IRIB), Normandie Université (NU)-Normandie Université (NU)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Aarhus University Hospital, and Clinique Tivoli Ducos [Bordeaux]
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Adult ,medicine.medical_specialty ,Endometriosis ,Rectum ,Constriction, Pathologic ,Stoma ,Colonic Diseases ,Postoperative complications ,03 medical and health sciences ,0302 clinical medicine ,[SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO] ,medicine ,Humans ,Risk factor ,Retrospective Studies ,030219 obstetrics & reproductive medicine ,business.industry ,Obstetrics and Gynecology ,Retrospective cohort study ,Deep endometriosis ,medicine.disease ,Bowel stenosis ,3. Good health ,Surgery ,Stenosis ,Rectal Diseases ,medicine.anatomical_structure ,Rectovaginal fistula ,030220 oncology & carcinogenesis ,Female ,Segmental resection ,business - Abstract
International audience; Study objective: To assess the prevalence, risk factors, and management of bowel stenosis after surgery for deep infiltrating endometriosis of the rectosigmoid using either disk excision (DE) or segmental resection (SR).Design: Retrospective study using data from consecutive cases recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis database.Setting: University tertiary referral center.Patients: Four hundred thirty-one consecutive patients managed for rectosigmoid endometriosis were enrolled in our study.Interventions: Laparoscopic SR or DE.Measurements and main results: One hundred sixty-five patients underwent DE, and 266 patients underwent SR. Large nodules ≥3 cm in diameter were more frequent in the SR group (73.3% vs 66.1%), whereas nodules infiltrating the low rectum were 3 times more frequent in the DE group (35.9% vs 11.3%). The frequency of vaginal excision (67.9% vs 62%) and stoma (46.7% vs 44.4%) were comparable between the DE and SR groups. Twenty-three patients presented with postoperative colorectal stenosis after SR (8.6%) versus none after DE (p
- Published
- 2021
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