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Related Experiment Videos

Deep endometriosis, including intestinal involvement--the interdisciplinary approach.

J Keckstein1, H Wiesinger

  • 1Department of Gynaecology and Obstetrics, County Hospital Villach, Austria. joerg.keckstein@lkh-vil.or.at

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
|June 7, 2006
PubMed
Summary

Radical resection of deep endometriosis involving the bowel significantly improves pelvic pain, dyschezia, and dyspareunia. This surgical approach also offers a 50% pregnancy rate for women desiring children, with a low complication rate.

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Area of Science:

  • Gynecology
  • Surgical Gastroenterology
  • Pelvic Surgery

Background:

  • Deep endometriosis frequently affects pelvic organs, including the bowel, necessitating an interdisciplinary surgical approach.
  • The extent of endometriosis resection correlates with patient symptom improvement.

Purpose of the Study:

  • To evaluate the efficacy and safety of segmental bowel resection with anterior anastomosis for deep endometriosis.
  • To assess postoperative improvements in pain and quality of life.

Main Methods:

  • A series of 202 patients with deep endometriosis involving the bowel underwent segmental resection and radical excision of lesions.
  • Follow-up data from 142 patients were analyzed.

Main Results:

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  • Significant improvements were reported in pelvic pain (96%), dyschezia (88%), and dyspareunia (87%).
  • 50% of 95 patients desiring pregnancy achieved conception post-surgery.
  • The overall complication rate was low, with a 3% rate of anastomosis leakage.

    • Conclusions:

    • Radical resection of deep endometriosis involving the bowel is an effective treatment for improving symptoms.
    • This surgical strategy offers a favorable outcome for fertility in affected women.