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Deep endometriosis, including intestinal involvement--the interdisciplinary approach
1Department of Gynaecology and Obstetrics, County Hospital Villach, Austria. joerg.keckstein@lkh-vil.or.at
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.
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:
- 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.