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Start Over Author "Savoye-Collet C" Publisher elsevier masson sas
35 results on '"Savoye-Collet C"'

35. Posterior rectal pouch after large full-thickness disc excision of deep endometriosis infiltrating the low/mid rectum and relationship with digestive functional outcome.

Author

d'Avout-Fourdinier P, Lempicka M, Gilibert A, Savoye-Collet C, Marpeau L, Hennetier C, Tuech JJ, and Roman H

Subjects
Endometriosis pathology, Endometriosis physiopathology, Female, France, Humans, Magnetic Resonance Imaging, Postoperative Complications epidemiology, Quality of Life, Rectal Diseases pathology, Rectal Diseases physiopathology, Rectocele epidemiology, Rectocele pathology, Rectum surgery, Retrospective Studies, Surveys and Questionnaires, Treatment Outcome, Digestive System Diseases epidemiology, Digestive System Surgical Procedures methods, Endometriosis surgery, Postoperative Complications pathology, Rectal Diseases surgery, Rectum pathology
Abstract

Introduction: The aim of our study is to describe MRI appearance of a posterior rectal pouch (PRP) for patients managed for low rectal endometriosis by large full-thickness disc excision and to assess its relationship with postoperative functional digestive symptoms., Material and Methods: Single center retrospective study including patients managed by low/mid rectal disc excision using a semi-circular stapler (the Rouen technique) from June 2009 to October 2016. Intraoperative findings and data provided by standardized gastrointestinal self-questionnaires (GIQLI, KESS, Wexner and Bristol), before and 1 year after the surgery, were prospectively recorded. Postoperative pelvic MRI were reviewed and PRP was assessed in three planes and its volume was estimated on a 3D T2 weighted sequence., Results: Eighteen patients were included in the study. All patients had postoperative PRP while none of them presented with rectal stenosis. The mean (± SD) volume of the PRP was estimated at 66 ± 32 mL. The mean antero-posterior diameter was 56 mm ± 22 mm, mean height at 44 mm ± 15 mm and mean width at 46 mm ± 11 mm. No positive correlation between the volume of the PRP and the GIQLI questionnaire was found at one year after surgery (r = -0.24, 95%CI -0.51-0.69, p = 0.44)., Conclusion: Large disc excision of low and mid rectum leads to a posterior rectal pouch, with no significant impact on postoperative functional digestive outcomes, but it is not followed by bowel stenosis., Competing Interests: Declaration of Competing Interest No specific financial support was received for this study. Horace Roman received personal fees for participation in masterclasses organized by PlasmaSurgical Inc and ETHICON Endosurgery., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

Published
2020
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