Colorectal endometriosis: Diagnosis, surgical strategies and post-operative complications
ObjectiveThe present work aimed to investigate the feasibility, complications, recurrence rate, and infertility outcomes of the radical and conservative surgical methods for colorectal endometriosis in short- and long-term follow-ups.MethodsIn this prospective study, the patients with confirmed diag...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.978326/full |
| _version_ | 1811205580934610944 |
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| author | Saeed Alborzi Horace Roman Elham Askary Tahereh Poordast Mahboobeh Hamedi Shahraki Soroush Alborzi Alimohammad Keshtvarz Hesam Abadi Elnaz Hosseini Najar Kolaii |
| author_facet | Saeed Alborzi Horace Roman Elham Askary Tahereh Poordast Mahboobeh Hamedi Shahraki Soroush Alborzi Alimohammad Keshtvarz Hesam Abadi Elnaz Hosseini Najar Kolaii |
| author_sort | Saeed Alborzi |
| collection | DOAJ |
| description | ObjectiveThe present work aimed to investigate the feasibility, complications, recurrence rate, and infertility outcomes of the radical and conservative surgical methods for colorectal endometriosis in short- and long-term follow-ups.MethodsIn this prospective study, the patients with confirmed diagnosis of colorectal DIE were included from March 2015 to March 2021, who were referred to an Endometriosis Surgery Center affiliated with Shiraz University of Medical Sciences (SUMS). Information on demographics, surgical approaches, intra-operative, and post-operative findings as well as complications were collected and compared. Six- and 12-month interviews were conducted to evaluate the functional outcomes of all the procedures.ResultsOut of 3,111 patients who underwent endometriosis surgery, 837 (28.19%) with the average age of 34.2 ± 5.9 years and average ASRM score of 102.1 ± 36.8 had rectosigmoid endometriosis. Laparoscopic rectal shaving was performed in 263(30.0%) patients while 326 (37.2%) underwent segmental bowel resection, and 248 (28.30%) were treated with disc excision. Prophylactic ileostomy was performed in six (0.68%) patients and peritonitis was reported in four (0.45%). Five (0.58%) subjects developed rectovaginal fistula and one (0.11%) was diagnosed with bladder atonia. The recurrence rate was 3.8%, 1.2%, and 0.3% in rectal shaving, disc, and segmental bowel resection techniques, respectively. Dysmenorrhea, dyspareunia, and dyschezia were improved after surgery by 7.3, 9.4, and 12.5 times, respectively. We observed 25.2% of total pregnancy following the operation, the majority of which occurred in the first year after the surgery.ConclusionThere were very few short-term or long-term complications in the three different techniques when the choice was correct. |
| first_indexed | 2024-04-12T03:34:46Z |
| format | Article |
| id | doaj.art-b4eae0c4f946454c838062123129af7c |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-12T03:34:46Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-b4eae0c4f946454c838062123129af7c2022-12-22T03:49:28ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-10-01910.3389/fsurg.2022.978326978326Colorectal endometriosis: Diagnosis, surgical strategies and post-operative complicationsSaeed Alborzi0Horace Roman1Elham Askary2Tahereh Poordast3Mahboobeh Hamedi Shahraki4Soroush Alborzi5Alimohammad Keshtvarz Hesam Abadi6Elnaz Hosseini Najar Kolaii7Department of Obstetrics and Gynecology, School of Medicine, Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Gynecology and Obstetrics, Clinique Gynécologique et Obstétrical, Rouen University Hospital, Rouen, FranceDepartment of Obstetrics and Gynecology, School of Medicine, Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Obstetrics and Gynecology, School of Medicine, Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, IranCardiologist, Student Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranMaster of Biostatistics in Clinical Research Development Center of Nemazee Hospital, Department of Statistics, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, IranObjectiveThe present work aimed to investigate the feasibility, complications, recurrence rate, and infertility outcomes of the radical and conservative surgical methods for colorectal endometriosis in short- and long-term follow-ups.MethodsIn this prospective study, the patients with confirmed diagnosis of colorectal DIE were included from March 2015 to March 2021, who were referred to an Endometriosis Surgery Center affiliated with Shiraz University of Medical Sciences (SUMS). Information on demographics, surgical approaches, intra-operative, and post-operative findings as well as complications were collected and compared. Six- and 12-month interviews were conducted to evaluate the functional outcomes of all the procedures.ResultsOut of 3,111 patients who underwent endometriosis surgery, 837 (28.19%) with the average age of 34.2 ± 5.9 years and average ASRM score of 102.1 ± 36.8 had rectosigmoid endometriosis. Laparoscopic rectal shaving was performed in 263(30.0%) patients while 326 (37.2%) underwent segmental bowel resection, and 248 (28.30%) were treated with disc excision. Prophylactic ileostomy was performed in six (0.68%) patients and peritonitis was reported in four (0.45%). Five (0.58%) subjects developed rectovaginal fistula and one (0.11%) was diagnosed with bladder atonia. The recurrence rate was 3.8%, 1.2%, and 0.3% in rectal shaving, disc, and segmental bowel resection techniques, respectively. Dysmenorrhea, dyspareunia, and dyschezia were improved after surgery by 7.3, 9.4, and 12.5 times, respectively. We observed 25.2% of total pregnancy following the operation, the majority of which occurred in the first year after the surgery.ConclusionThere were very few short-term or long-term complications in the three different techniques when the choice was correct.https://www.frontiersin.org/articles/10.3389/fsurg.2022.978326/fullendometriosisrectal endometriosisClavien-Dindo classificationinfertilityrectovaginal fistulapainful menstruation |
| spellingShingle | Saeed Alborzi Horace Roman Elham Askary Tahereh Poordast Mahboobeh Hamedi Shahraki Soroush Alborzi Alimohammad Keshtvarz Hesam Abadi Elnaz Hosseini Najar Kolaii Colorectal endometriosis: Diagnosis, surgical strategies and post-operative complications Frontiers in Surgery endometriosis rectal endometriosis Clavien-Dindo classification infertility rectovaginal fistula painful menstruation |
| title | Colorectal endometriosis: Diagnosis, surgical strategies and post-operative complications |
| title_full | Colorectal endometriosis: Diagnosis, surgical strategies and post-operative complications |
| title_fullStr | Colorectal endometriosis: Diagnosis, surgical strategies and post-operative complications |
| title_full_unstemmed | Colorectal endometriosis: Diagnosis, surgical strategies and post-operative complications |
| title_short | Colorectal endometriosis: Diagnosis, surgical strategies and post-operative complications |
| title_sort | colorectal endometriosis diagnosis surgical strategies and post operative complications |
| topic | endometriosis rectal endometriosis Clavien-Dindo classification infertility rectovaginal fistula painful menstruation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.978326/full |
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