Advertisement

Topics

Complications after surgery for deeply infiltrating pelvic endometriosis.

06:00 EST 19th November 2010 | BioPortfolio

Summary of "Complications after surgery for deeply infiltrating pelvic endometriosis."

Please cite this paper as: Kondo W, Bourdel N, Tamburro S, Cavoli D, Jardon K, Rabischong B, Botchorishvili R, Pouly J, Mage G, Canis M. Complications after surgery for deeply infiltrating pelvic endometriosis. BJOG 2010;
DOI:
10.1111/j.1471-0528.2010.02774.x. Objective  To evaluate the complications after surgery for deep endometriosis. Design  Retrospective study. Setting  Data from the CHU Estaing database and patients' charts between January 1987 and December 2007. Sample  All women given surgical treatment for deep endometriosis. Methods  Women who underwent surgery for deep endometriosis were reviewed for intra- and postoperative complications. Main outcome measures  Primary outcomes were rates of intra- and postoperative complications. Complications were compared according to the procedure performed. Results  A total of 568 women were included in the study, with a mean age of 32.4 years. The mean estimated diameter of the nodule felt by vaginal examination was 1.8 cm (ranging from 0.5 to 7 cm). Laparoscopic surgery was performed in 560 women (98.6%), and conversion was required in 2.3%. The mean operative time was 155 minutes. Intraoperative complications occurred in 12 women (2.1%), including six minor (1.05%) and six major (1.05%) complications. Postoperative complications developed in 79 women (13.9%), including 54 minor (9.5%) and 26 major (4.6%) complications (one woman had both minor and major postoperative complications). The overall major postoperative complication rate for women who underwent any type of rectal surgery (shaving, excision and suture, or segmental resection) was 9.3% (21 out of 226), compared with only 1.5% for the other women (five out of 342) (P < 0.01). Shaving presented less major postoperative complications compared with segmental resection (24 versus 6.7%; P = 0.004). Conclusions  Surgery for deep endometriosis is feasible, but it is associated with major complications, especially when any type of rectal surgery must be performed.

Affiliation

Department of Gynaecologic Surgery, CHU Estaing, Clermont-Ferrand, France.

Journal Details

This article was published in the following journal.

Name: BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Pages:

Links

DeepDyve research library

PubMed Articles [11432 Associated PubMed Articles listed on BioPortfolio]

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

Nerve-sparing surgery is an emerging technique for surgery-related dysfunction. Within the past 15 years, an essential progress in recognition and understanding of the anatomy of the pelvic autonomous...

Surgical Management of Endometriosis in Patients with Chronic Pelvic Pain.

Surgical approaches to endometriosis patients with chronic pelvic pain are multimodal and require individualization. Laparoscopic approaches are preferred over laparotomy when conservatively treating ...

PELVIC FLOOR MUSCLE DYSFUNCTION AT 3D/4D TRANSPERINEAL ULTRASOUND IN PATIENTS WITH DEEP INFILTRATING ENDOMETRIOSIS: A PILOT STUDY.

Pelvic floor muscle (PFM) dysfunction seems to play an important role in the pathophysiology of pain in women with with pelvic pain syndromes, including deep infiltrating endometriosis (DIE). The aim ...

Effects of Vitamin D on Endometriosis-Related Pain: A Double-Blind Clinical Trial.

BACKGROUND Endometriosis is a disabling disease of reproductive-age women. Dysmenorrhea, dyspareunia, and pelvic pain are the main symptoms of endometriosis. Its etiology is not clear. Endometriosis m...

Rare manifestation of endometriosis causing complete recto-sigmoid obstruction: A case report.

Endometriosis is a disease in which endometrial epithelium implanted outside the uterus. Although the endometrial tissue can implant anywhere, the most common places are the ovary and pelvic peritoneu...

Clinical Trials [4973 Associated Clinical Trials listed on BioPortfolio]

A Study to Describe the Efficacy of Diphereline Following Conservative Surgery in Deep Infiltrating Endometriosis (DIE) Patients Over a Period of 24 Months

The purpose of this study is to describe changes in the intensity of specific endometriosis symptoms from baseline pre-surgery to after surgery and subsequent continuous Diphereline (Tript...

The Effectiveness of Lng IUD for Treatment of the Patient Undergone Conservative Surgery for Pelvic Endometriosis

this study is to determine whether the frequency and severity of pelvic pain or dysmenorrhea are reduced in women with symptomatic endometriosis in whom a Lng IUD is inserted after operati...

Perinatal Consequences of Endometriosis

Endometriosis is a benign gynecological disease, characterized by the presence of endometrium-like tissue outside the uterine cavity that affect up to 10-15% of women in reproductive age w...

Outcome After Multidisciplinary CO2 Laser Laparoscopic Excision of Deep Infiltrating Colorectal Endometriosis

Improved pain, sexuality and quality of life, high fertility and low complication and recurrence rates after multidisciplinary CO2 laser laparoscopic excision of deep infiltrating colorect...

Prospective Data Registry of an Interdisciplinary Pelvic Pain & Endometriosis Clinic

The purpose of this data registry is to prospectively collect data from patients referred to an interdisciplinary clinic for pelvic pain and endometriosis to investigate long-term patient ...

Medical and Biotech [MESH] Definitions

Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.

Endoscopic examination, therapy or surgery of the female pelvic viscera by means of an endoscope introduced into the pelvic cavity through the posterior vaginal fornix.

Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.

Soft tissue formed mainly by the pelvic diaphragm, which is composed of the two levator ani and two coccygeus muscles. The pelvic diaphragm lies just below the pelvic aperture (outlet) and separates the pelvic cavity from the PERINEUM. It extends between the PUBIC BONE anteriorly and the COCCYX posteriorly.

A benign, rapidly growing, deeply pigmented tumor of the jaw and occasionally of other sites, consisting of an infiltrating mass of cells arranged in an alveolar pattern, and occurring almost exclusively in infants. Its source of origin is in dispute, the various theories giving rise to its several names. (Dorland, 27th ed)

Quick Search
Advertisement
 


DeepDyve research library

Searches Linking to this Article