keyword
https://read.qxmd.com/read/38325580/laparoscopic-modified-radical-hysterectomy-for-severe-endometriosis-a-single-center-case-series
#1
JOURNAL ARTICLE
Gael Darlet, François Margueritte, Hocine Drioueche, Arnaud Fauconnier
STUDY OBJECTIVE: The main objective is to describe the feasibility and report a single centre experience of a standardized laparoscopic modified radical hysterectomy technique among patients with severe endometriosis and pouch of Douglas obliteration. DESIGN: A single-center case series of laparoscopic modified radical hysterectomy performed at the Poissy Hospital between December 2012 and May 2021. SETTINGS: Single-center, gynecology unit (level III) with a focus on endometriosis...
February 5, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38160748/combined-robotic-transanal-transection-single-stapled-technique-ttss-in-ultra-low-rectal-endometriosis-involvement-associated-with-parametrial-and-vagina-infiltration
#2
JOURNAL ARTICLE
Gianmarco D'Ancona, Benjamin Merlot, Quentin Denost, Stefano Angioni, Thomas Dennis, Horace Roman
OBJECTIVE: To describe a combined robotic and trans-anal technique used to treat ultra-low rectal endometriosis in a 36-years-old patient with multiple pelvic compartments which was responsible for infertility, dyspareunia, left sciatic pain and severe dyschezia. DESIGN: Surgical video article. SETTING: The achievement of a perfect bowel anastomosis in patients with low rectal endometriosis could be challenging due to technical and anatomical limitations [1]...
December 29, 2023: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/37905841/treatment-of-rectosigmoid-endometriosis-by-laparoscopic-reverse-submucosal-dissection-lrsd-the%C3%A2-sydney-partial-thickness-discoid-excision-technique
#3
JOURNAL ARTICLE
Jessica Robertson, Jason Abbott, Sophie Corbett-Burns, Mujahid Bukhari, Shevy Perera, Assem Kalantan, Mikhail Sarofim, Rebecca Chou, Greg Cario, David Rosen, Sarah Choi, Michael Wynn-Williams, George Condous, Danny Chou
BACKGROUND: Laparoscopic reverse submucosal dissection (LRSD) is a standardised surgical technique for removal of rectosigmoid endometriosis which optimises the anatomical dissection plane for excision of endometriotic nodules. AIM: This cohort study assesses the outcomes of the first cohort of women treated by LRSD, for deeply infiltrating rectosigmoid endometriosis. MATERIALS AND METHODS: Primary outcomes assessed were complication rate as defined by the Clavien-Dindo system, and completion of the planned LRSD...
October 31, 2023: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://read.qxmd.com/read/37720929/laparoscopic-natural-orifice-specimen-extraction-nose-colectomy-versus-conventional-laparoscopic-colorectal-resection-in-patients-with-rectal-endometriosis-a-randomized-controlled-trial
#4
JOURNAL ARTICLE
Noémi Dobó, Gabriella Márki, Gernot Hudelist, Noémi Csibi, Réka Brubel, Nándor Ács, Attila Bokor
BACKGROUND: The conventional laparoscopic approach for the surgical management of deep endometriosis (DE) infiltrating the rectum appears to ensure improved digestive functional outcomes. The natural orifice specimen extraction (NOSE) technique for the treatment of colorectal DE can significantly accelerate postoperative recovery; however, data on gastrointestinal function following conventional laparoscopic segmental bowel resection (CLR) compared with NOSE-colectomy (NC) for DE are sparse...
September 15, 2023: International Journal of Surgery
https://read.qxmd.com/read/37555349/vascular-and-nerve-sparing-bowel-resection-for-deep-endometriosis-a-retrospective-single-center-study
#5
JOURNAL ARTICLE
Manuel Maria Ianieri, Alessandra De Cicco Nardone, Greta Benvenga, Pierfrancesco Greco, Pia Clara Pafundi, Maria Vittoria Alesi, Federica Campolo, Claudio Lodoli, Carlo Abatini, Miriam Attalla El Halabieh, Fabio Pacelli, Giovanni Scambia, Francesco Santullo
OBJECTIVE: Surgical management of bowel endometriosis is still controversial. Recently, many authors have pointed out the potential benefits of preserving the superior rectal artery, thus ensuring better perfusion of the anastomosis. The aim of this study was to evaluate the complication rate and functional outcomes of a bowel resection technique for deep endometriosis (DE) involving a nerve- and vascular-sparing approach. METHODS: A single-center retrospective study was conducted by enrolling patients who underwent segmental resection of the rectus sigmoid for DE in our department between September 2019 and April 2022...
August 9, 2023: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/37516398/evaluation-of-a-scoring-system-for-the-detection-of-central-sensitization-among-women-with-chronic-pelvic-pain
#6
JOURNAL ARTICLE
Claire Cardaillac, Amélie Levesque, Thibault Riant, Anaïs Mortier, Michel Neunlist, Marie-Aimée Perrouin-Verbe, Christelle Volteau, Thibault Thubert, Charlène Brochard, Stéphane Ploteau
BACKGROUND: Central sensitization is frequently associated with chronic pelvic pain and requires specific management. The pain is described as hypersensitivity to an innocuous stimulus that is both widespread and persistent. However, no study has evaluated if central sensitization can be measured objectively with neurophysiological tests in the pelvic and perineal area to prove this concept in women with chronic pelvic pain. OBJECTIVE: This study aimed to evaluate nociceptive thresholds (primary objective) and spatial and temporal diffusion of pain among women with chronic pelvic pain and high or low scores of central sensitization...
July 27, 2023: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/37116746/-a-space-odyssey-on-laparoscopic-segmental-rectosigmoid-resection-for-deep-endometriosis-a-seventeen-year-retrospective-analysis-of-outcomes-and-postoperative-complications-among-3050-patients-treated-in-a-referral-center
#7
JOURNAL ARTICLE
Marcello Ceccaroni, Matteo Ceccarello, Ivano Raimondo, Giovanni Roviglione, Roberto Clarizia, Francesco Bruni, Daniele Mautone, Maria Manzone, Enrico Facci, Lorenzo Rettore, Roberto Rossini, Elisa Bertocchi, Giuliano Barugola, Giacomo Ruffo, Fabio Barra
STUDY OBJECTIVE: To evaluate the feasibility of laparoscopic rectosigmoid resection for bowel endometriosis (RSE), reporting surgical and short-term postoperative outcomes in a consecutive large series of patients. DESIGN: A retrospective cohort study. SETTING: Third-level national referral center for deep endometriosis (DE). PATIENTS: 3050 patients with symptomatic RSE requiring surgical treatment. INTERVENTIONS: Nerve-sparing laparoscopic resection for RSE perfomed by a multidisciplinary team...
August 2023: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/37079139/stapled-disc-excision-for-the-repair-of-intraoperative-rectal-injury-during-robotic-surgery-for-deep-infiltrating-endometriosis
#8
JOURNAL ARTICLE
Carlo Alberto Manzo, Valerio Celentano
INTRODUCTION: Intraoperative rectal perforation is an uncommon complication of pelvic surgery, which can be life-threatening and often leads to high morbidity and stoma formation rate. PURPOSE: No consensus has been reached regarding a standard of care for intraoperative iatrogenic pelvic injury. This article presents a technique for a stapled repair to completely resect a full-thickness low rectal perforation during robotic surgery for advanced endometriosis and avoid a high-risk colorectal anastomosis and the possible need for stoma formation...
April 20, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/36758889/robotic-assisted-rectal-disk-excision-the-3-cm-diameter-cut-off-may-be-abandoned
#9
JOURNAL ARTICLE
Gianmarco D'Ancona, Benjamin Merlot, Quentin Denost, Horace Roman
OBJECTIVE: To describe the robotic full-thickness rectal excision using a transanal circular stapler in rectovaginal endometriosis nodule infiltrating the rectum >3 cm. DESIGN: Surgical video article. The local institutional review board was consulted, and the requirement for institutional review board approval was waived because the video describes a technique and the patient cannot be identified whatsoever. Written informed consent was obtained from the patient for the use of personal data...
February 7, 2023: Fertility and Sterility
https://read.qxmd.com/read/36605014/perioperative-outcomes-of-and-predictors-for-conversion-from-transvaginal-natural-orifice-transluminal-endoscopic-tubal-surgeries-a-retrospective-cohort-study-of-619-patients
#10
JOURNAL ARTICLE
Dan Feng, Li He, Xin Li, Qiang Zhang, Jieru Peng, Lu Huang, Tianjiao Liu, Yonghong Lin
OBJECTIVE: To assess the perioperative outcomes of vNOTES tubal surgeries and to identify predictors of surgical conversion. METHODS: A single-center retrospective cohort study was performed on 619 patients who underwent vNOTES tubal surgeries in our institute from December 2018 to October 2021. Patients were categorized into "converted" or "non-converted" groups based on whether conversion occurred. t-test and χ2 test were performed on demographic and clinicopathologic data to compare their perioperative outcomes...
June 2023: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/36334913/disk-excision-using-end-to-end-anastomosis-circular-stapler-for-deep-endometriosis-of-the-rectum-a-492-patient-continuous-prospective-series
#11
JOURNAL ARTICLE
Horace Roman, Thomas Dennis, Damien Forestier, Marc Olivier François, Vincent Assenat, Jean Jacques Tuech, Clotilde Hennetier, Benjamin Merlot
STUDY OBJECTIVE: To report a large series including women managed by disk excision using end-to-end anastomosis (EEA) circular transanal stapler to assess the feasibility of the technique, the features of nodules suitable for removal by disk excision, and the rate of major early complications. DESIGN: Retrospective study on data prospectively recorded in 2 databases. SETTING: Two tertiary referral centers. PATIENTS: A total of 492 patients undergoing surgery for rectal endometriosis from May 2011 to June 2022...
November 2, 2022: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/36273311/assessing-the-role-and-accuracy-of-ultrasonographic-imaging-in-the-diagnosis-of-deep-infiltrating-endometriosis-a-cross-sectional-study
#12
JOURNAL ARTICLE
Zahra Asgari, Sara Farzadi, Reihaneh Hosseini, Alireza Hadizadeh, Masoud Mortezazadeh
BACKGROUND: Deep infiltrating endometriosis (DIE) is described as an endometriotic tissue that penetrates more than 5 mm under the peritoneal surface. It's suggested that trans vaginal sonography (TVS) is 79% sensitive and 94% specific in the assessment of intestinal DIE. Considering the possibility that DIE ultrasonography (rectal and\or vaginal ultrasonography) might be more accurate, we designed this study to assess this study to evaluate the accuracy of DIE ultrasonography. MATERIALS AND METHODS: In this retrospective cross-sectional study, we designed and conducted this study from 2019 to 2020 on patients suspected of severe endometriosis...
October 1, 2022: International Journal of Fertility & Sterility
https://read.qxmd.com/read/36239791/quality-of-life-and-low-anterior-resection-syndrome-before-and-after-deep-endometriosis-surgery
#13
JOURNAL ARTICLE
Sara Gortázar de Las Casas, Isabel Pascual Miguelañez, Emanuela Spagnolo, Mario Álvarez-Gallego, Ana López Carrasco, María Carbonell López, Alicia Hernández Gutiérrez
PURPOSE: Deep endometriosis (DE) is defined by the presence of ectopic endometrial glands, with rectal involvement ranging from 5.3 to 12%. The prevalence of low anterior resection-like syndrome (LARS) in patients with DE, how it affects quality of life (QoL), and its evolution after surgery is unclear. The objective of this study was to assess the gastrointestinal functional outcomes and QoL in patients who underwent surgery for DE. PATIENTS AND METHODS: A prospective study was conducted from 2017 to 2019, recruiting patients who underwent DE surgery with and without rectal resection...
October 14, 2022: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/36087927/end-to-end-versus-side-to-end-anastomosis-after-bowel-resection-for-deep-infiltrating-endometriosis-a-retrospective-study
#14
JOURNAL ARTICLE
Giovanni Pontrelli, Cristiano Huscher, Marco Scioscia, Federica Brusca, Umberto Tedeschi, Pantaleo Greco, Matteo Mancarella, Nicoletta Biglia, Lorenzo Novara
OBJECTIVE: Deep infiltrating endometriosis(DIE) of the bowel may require segmental bowel resection. The subsequent reconstruction can be performed through an end-to-end(E-E) or a side-to-end (S-E)anastomosis, the latter being used in low resection due to the reduced risk of anastomotic leakage. This study aims at comparing those two anastomosis techniques in women submitted to bowel resection for DIE, in terms of post-operative morbidity and functional outcomes. METHODS: This was a single-centre retrospective study on women undergoing laparoscopic rectal resection for deep infiltrating endometriosis with subsequent E-E or S-E anastomosis performed according to the level of rectal resection...
September 7, 2022: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/36030152/-analysis-of-anorectal-manometry-data-in-central-and-peripheral-neurological-deseases-review-of-the-literature
#15
REVIEW
D Essid, G Miget, A Jolu, I Dekimeche, C Chesnel, R Haddad, F Le Breton, M Grasland, G Amarenco
INTRODUCTION: Peripheral or central neurological deseases are providers of anorectal disorders of variable clinical expression (constipation, dyschezia, faecal incontinence (FI)…). Anorectal manometry (ARM) participates in their exploration to determine the underlying mechanisms, guide and optimize treatments. The objective of this work was to determine if there is a pattern of ARM data in neurological populations. MATERIALS ET METHODS: Literature review from PubMed, Cochrane and Google scholar databases, using the following keywords: parkinsonian disorders; parkinson's disease; multiple slcerosis; neurolog*; spinal cord injury; spina bifida occulta; stroke; pudendal; endometriosis; peripheral nervous system diseases...
December 2022: Progrès en Urologie
https://read.qxmd.com/read/35833324/appendiceal-endometriosis-with-intestinal-metaplasia-mimicking-appendiceal-mucinous-neoplasm-a-case-report-and-a-concise-review-for-the-practicing-pathologist
#16
JOURNAL ARTICLE
Mirela Chitul, Madalina Chivu, Andrei Chitul, Ileana Popa, Gabriel Becheanu, Daniel Cristian, Florin Grama
Appendiceal endometriosis is a rare entity and, when accompanied by intestinal metaplasia, represents a challenging differential diagnosis with low-grade appendiceal mucinous neoplasm (LAMN). We present the case of a 47 years-old woman, with multiple surgical interventions for endometriosis, with persistent symptoms despite chronic hormonal treatment, with imaging showing stage IV endometriosis. Hence, en bloc low rectum resection with total hysterectomy and bilateral adnexectomy was performed, followed by appendectomy...
July 14, 2022: International Journal of Surgical Pathology
https://read.qxmd.com/read/35818905/rates-of-severe-complications-in-patients-undergoing-colorectal-surgery-for-deep-endometriosis-a-retrospective-multicenter-observational-study
#17
MULTICENTER STUDY
Gernot Hudelist, Matthias Korell, Michael Burkhardt, Radek Chvatal, Ezgi Darici, Desislava Dimitrova, Jan Drahonovsky, Bashar Haj Hamoud, Daniela Hornung, Bernhard Krämer, Guenter Noe, Peter Oppelt, Sebastian Daniel Schäfer, Beata Seeber, Uwe Andreas Ulrich, Rene Wenzl, Rudy Leon De Wilde, Pauline Wimberger, Birgit Senft, Joerg Keckstein, Eliana Montanari, Cloe Vaineau, Martin Sillem
INTRODUCTION: Surgical experience and hospital procedure volumes have been associated with the risk of severe complications in expert centers for endometriosis in France. However, little is known about other certified units in Central European countries. MATERIAL AND METHODS: This retrospective observational study included 937 women who underwent surgery for colorectal endometriosis between January 2018 and January 2020 in 19 participating expert centers for endometriosis...
October 2022: Acta Obstetricia et Gynecologica Scandinavica
https://read.qxmd.com/read/35478159/ghost-ileostomy-safe-and-cost-effective-alternative-to-ileostomy-after-rectal-resection-for-deep-infiltrating-endometriosis
#18
JOURNAL ARTICLE
Alberto Vega Hernández, Jakob Otten, Hildegard Christ, Christoph Ulrici, Elvin Piriyev, Sebastian Ludwig, Claudia Rudroff
BACKGROUND/AIM: Endometriosis infiltrating the rectum often requires resection with a protecting stoma. A ghost ileostomy (GI) is an alternative to prevent the psychological burden for the young women affected. The present study evaluated the safety and cost-effectiveness of the ghost ileostomy (GI) procedure in a group of patients after rectal resection for deep infiltrating endometriosis. PATIENTS AND METHODS: The prospective controlled interventional trial was conducted in 54 consecutive patients with deep infiltrating endometriosis of the rectum...
May 2022: In Vivo
https://read.qxmd.com/read/35442833/role-of-fluorescence-imaging-for-intraoperative-intestinal-assessment-in-gynecological-surgery-a-systematic-review
#19
REVIEW
Emanuela Spagnolo, Ignacio Zapardiel, Mikel Gorostidi
BACKGROUND: Our aim was to review the current knowledge of the role of fluorescence imaging for intraoperative intestinal assessment in gynecological surgery. MATERIAL AND METHODS: A computer-based systematic review was performed from 2000 to 2020. All articles describing the use of indocyanine green (ICG) applied to bowel assessments in gynecology or endometriosis surgery were considered for review. RESULTS: ICG is an effective tool for assessing bowel vascularization, potentially preventing anastomotic leakage and recto-vaginal fistula and can therefore be useful for endometriosis surgery or bowel assessment in gynecological oncology procedures...
April 20, 2022: Minimally Invasive Therapy & Allied Technologies: MITAT
https://read.qxmd.com/read/35350676/laparoscopic-triple-segmental-bowel-resection-for-endometriosis-revealed-by-rectal-obstruction-during-infertility-treatment
#20
Kunihiko Nagakari, Daisuke Azuma, Kazuhiro Takehara, Masakazu Ohuchi, Yoichi Ishizaki, Kazuhiro Sakamoto
Intestinal endometriosis is a benign disease characterized by ectopic growth of the endometrium and causes extensive fibrosis and adhesions in response to repeated episodes of bleeding and inflammation with the menstrual cycle. We encountered a rare case of intestinal endometriosis that caused complete rectal obstruction in a 34-year-old woman undergoing infertility treatment. Colonoscopy showed rectal stenosis and obstruction but no evidence of a tumor. Bowel obstruction due to endometriosis was diagnosed based on the history and imaging findings...
January 2022: Case Reports in Gastroenterology
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