Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis
Bowel endometriosis, defined as presence of endometrial tissue infiltrating the intestinal muscularis propria layer and beyond (3), has a sigmoid colon and rectal predilection. We collected 170 cases of endometriosis within the timeline, out of which DIE was diagnosed in 47 cases (27%). Deep Infiltr...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2020-12-01
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| Series: | Iranian Journal of Colorectal Research |
| Subjects: | |
| Online Access: | https://colorectalresearch.sums.ac.ir/article_47246_c3be04fe686f41d40a15c9276d6c35fb.pdf |
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| author | Adianto Nugroho Rofi Saunar Indah Jamtani M Syahbana Syamsu Hudaya Aditomo Widarso Taslim Poniman |
| author_facet | Adianto Nugroho Rofi Saunar Indah Jamtani M Syahbana Syamsu Hudaya Aditomo Widarso Taslim Poniman |
| author_sort | Adianto Nugroho |
| collection | DOAJ |
| description | Bowel endometriosis, defined as presence of endometrial tissue infiltrating the intestinal muscularis propria layer and beyond (3), has a sigmoid colon and rectal predilection. We collected 170 cases of endometriosis within the timeline, out of which DIE was diagnosed in 47 cases (27%). Deep Infiltrating Endometriosis (DIE) that effected the bowel, including those that only effected the perirectal fat and rectal serosa were 19 cases (40%); 11 cases (58%) had DIE infiltrating past the rectal serosa. A total of 8 cases (42%), with only perirectal fat and rectal serosa involvement were treated with either disc excision or shaving, were excluded from this study We described the clinical characteristics of 9 patients with rectal DIE that were treated with Segmental Resection along with primary gynecological resection. In summary, Segmental resection is safe and feasible, even with minimally invasive technique, to be incorporated in the comprehensive multidisciplinary management of bowel endometriosis. Further effort to expand its use is necessary to increase the scope of bowel endometriosis management across the country. |
| first_indexed | 2024-04-12T02:38:58Z |
| format | Article |
| id | doaj.art-9210b1a0cf604131a3548577308f361f |
| institution | Directory Open Access Journal |
| issn | 2783-2430 |
| language | English |
| last_indexed | 2024-04-12T02:38:58Z |
| publishDate | 2020-12-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Colorectal Research |
| spelling | doaj.art-9210b1a0cf604131a3548577308f361f2022-12-22T03:51:23ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302020-12-018418719110.30476/acrr.2021.88432.106547246Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid EndometriosisAdianto Nugroho0Rofi Saunar1Indah Jamtani2M Syahbana3Syamsu Hudaya4Aditomo Widarso5Taslim Poniman6Digestive Division, Department of Surgery, Fatmawati Central General Hospital, Fatmawati, IndonesiaDigestive Division, Department of Surgery, Fatmawati Central General Hospital, Fatmawati, IndonesiaDigestive Division, Department of Surgery, Fatmawati Central General Hospital, Fatmawati, IndonesiaDepartment of Obstetrics and Gynecology, Fatmawati Central General Hospital, Fatmawati, IndonesiaUrology Division, Department of Surgery, Fatmawati Central General Hospital, Fatmawati, IndonesiaDigestive Division, Department of Surgery, Fatmawati Central General Hospital, Fatmawati, IndonesiaDigestive Division, Department of Surgery, Fatmawati Central General Hospital, Fatmawati, IndonesiaBowel endometriosis, defined as presence of endometrial tissue infiltrating the intestinal muscularis propria layer and beyond (3), has a sigmoid colon and rectal predilection. We collected 170 cases of endometriosis within the timeline, out of which DIE was diagnosed in 47 cases (27%). Deep Infiltrating Endometriosis (DIE) that effected the bowel, including those that only effected the perirectal fat and rectal serosa were 19 cases (40%); 11 cases (58%) had DIE infiltrating past the rectal serosa. A total of 8 cases (42%), with only perirectal fat and rectal serosa involvement were treated with either disc excision or shaving, were excluded from this study We described the clinical characteristics of 9 patients with rectal DIE that were treated with Segmental Resection along with primary gynecological resection. In summary, Segmental resection is safe and feasible, even with minimally invasive technique, to be incorporated in the comprehensive multidisciplinary management of bowel endometriosis. Further effort to expand its use is necessary to increase the scope of bowel endometriosis management across the country.https://colorectalresearch.sums.ac.ir/article_47246_c3be04fe686f41d40a15c9276d6c35fb.pdfbowel endometriosisdeep infiltratingsegmental resection |
| spellingShingle | Adianto Nugroho Rofi Saunar Indah Jamtani M Syahbana Syamsu Hudaya Aditomo Widarso Taslim Poniman Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis Iranian Journal of Colorectal Research bowel endometriosis deep infiltrating segmental resection |
| title | Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis |
| title_full | Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis |
| title_fullStr | Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis |
| title_full_unstemmed | Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis |
| title_short | Single Center Experience of a Safe and Feasible Segmental Resection of Rectosigmoid Endometriosis |
| title_sort | single center experience of a safe and feasible segmental resection of rectosigmoid endometriosis |
| topic | bowel endometriosis deep infiltrating segmental resection |
| url | https://colorectalresearch.sums.ac.ir/article_47246_c3be04fe686f41d40a15c9276d6c35fb.pdf |
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