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Low rectal endometriosis

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https://www.readbyqxmd.com/read/27885759/transanal-minimally-invasive-rectal-resection-for-deep-endometriosis-a-promising-technique
#1
Stijn L Vlek, Marit C I Lier, Thomas W A Koedam, Ingeborg Melgers, Judith J M L Dekker, Jaap H Bonjer, Velja Mijatovic, Jurriaan B Tuynman
AIM: Surgical management of patients with deep endometriosis (DE) of the rectum is difficult. Inflammation and subsequent adhesions due to DE impede access to the lower pelvis and may lead to complications during laparoscopic low anterior resection (LAR). Transanal minimally invasive surgery (TAMIS) is an alternative to an abdominal approach with potential advantages. The aim of this study was to provide a description of the TAMIS technique and to present the perioperative results of TAMIS and of conventional LAR in patients with DE...
November 25, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27796599/robotic-assisted-colorectal-surgery-in-obese-patients-a-case-matched-series
#2
Jeffrey N Harr, Samuel Luka, Aman Kankaria, Yen-Yi Juo, Samir Agarwal, Vincent Obias
BACKGROUND: Reports demonstrate laparoscopic colorectal surgery in obese patients is associated with higher conversion to laparotomy and complication rates. While several advantages of robotic-assisted surgery have been reported, outcomes in obese patients have not been adequately studied. Therefore, this study compares outcomes of robotic-assisted surgery in non-obese and obese patients. METHODS: A retrospective review of 331 consecutive robotic procedures performed at a single institution between 2009 and 2015 was performed...
October 27, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27678760/nerve-sparing-rectosigmoid-resection-and-low-rectal-anastomosis-for-deep-pelvic-endometriosis
#3
S Aksu, S Misirlioglu, C Taskiran, B Urman
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27565263/rectal-shaving-for-deep-endometriosis-infiltrating-the-rectum-a-5-year-continuous-retrospective-series
#4
Horace Roman, Salwa Moatassim-Drissa, Noemie Marty, Mathilde Milles, Aurélie Vallée, Eulalie Desnyder, Emanuela Stochino Loi, Carole Abo
OBJECTIVE: To report postoperative outcomes after rectal shaving for deep endometriosis infiltrating the rectum. DESIGN: Retrospective study using data prospectively recorded in the CIRENDO database. SETTING: University tertiary referral center. PATIENT(S): One hundred and twenty-two consecutive patients whose follow-up observation ranged from 1 to 6 years. INTERVENTION(S): Rectal shaving performed using ultrasound scalpel or scissors and plasma energy in 68 and 54 women, respectively...
August 23, 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27297610/medium-to-long-term-gastrointestinal-outcomes-following-disc-resection-of-the-rectum-for-treatment-of-endometriosis-using-a-validated-scoring-questionnaire
#5
Ada Ng, Phillip Yang, Shing Wong, Thierry Vancaillie, Surya Krishnan
OBJECTIVE: To assess the gastrointestinal functional outcomes and symptoms of low anterior resection syndrome after disc resection for deeply infiltrative endometriosis (DIE) using a validated scoring system. DESIGN: Retrospective study to assess the gastrointestinal functional outcomes after rectal disc resection for DIE using a validated scoring system. SETTING: University tertiary referral centre. PATIENTS: Women who underwent disc resection for endometriosis at Royal Hospital for Women and Prince of Wales Private Hospital between January 2012 and December 2013 were included...
August 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/26956803/pelvic-organ-function-before-and-after-laparoscopic-bowel-resection-for-rectosigmoid-endometriosis-a-prospective-observational-study
#6
M Riiskjaer, S Greisen, M Glavind-Kristensen, U S Kesmodel, A Forman, M Seyer-Hansen
OBJECTIVE: To assess urinary, sexual, and bowel function before and after laparoscopic bowel resection for rectosigmoid endometriosis. DESIGN: Prospectively collected data regarding the function of the pelvic organs. SETTING: Tertiary endometriosis referral unit, Aarhus University Hospital. SAMPLE: A cohort of 128 patients who underwent laparoscopic bowel resection for endometriosis. METHODS: The International Consultation on Incontinence Questionnaire (ICIQ), Sexual Function-Vaginal Changes Questionnaire (SVQ), and the Low Anterior Resection Syndrome (LARS) questionnaire were answered before and after surgery...
July 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/26919512/imaging-modalities-for-the-non-invasive-diagnosis-of-endometriosis
#7
REVIEW
Vicki Nisenblat, Patrick M M Bossuyt, Cindy Farquhar, Neil Johnson, M Louise Hull
BACKGROUND: About 10% of women of reproductive age suffer from endometriosis. Endometriosis is a costly chronic disease that causes pelvic pain and subfertility. Laparoscopy, the gold standard diagnostic test for endometriosis, is expensive and carries surgical risks. Currently, no non-invasive tests that can be used to accurately diagnose endometriosis are available in clinical practice. This is the first review of diagnostic test accuracy of imaging tests for endometriosis that uses Cochrane methods to provide an update on the rapidly expanding literature in this field...
February 26, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26423408/deep-shaving-and-transanal-disc-excision-in-large-endometriosis-of-mid-and-lower-rectum-the-rouen-technique
#8
Horace Roman, Carole Abo, Emmanuel Huet, Jean-Jacques Tuech
BACKGROUND: Colorectal resection is performed in a majority of patients presenting with large endometriosis of mid and lower rectum; however, it may negatively and irreversibly impact postoperative rectal function. To avoid such unfavourable outcomes, we propose an original technique combining laparoscopic deep rectal shaving and transanal disc excision using a semi-circular stapler. METHODS: The video presents the procedure performed in a 29-year-old nullipara referred with a large endometriotic nodule infiltrating the lower rectum on more than 30 mm length...
June 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26347968/full-thickness-disc-excision-in-deep-endometriotic-nodules-of-the-rectum-a-prospective-cohort
#9
Horace Roman, Carole Abo, Emmanuel Huet, Valérie Bridoux, Mathieu Auber, Stephane Oden, Loïc Marpeau, Jean-Jacques Tuech
BACKGROUND: To date, a majority of patients presenting with large endometriosis of the rectum are managed worldwide by colorectal resection. However, postoperative rectal function may be impacted by radical rectal surgery. OBJECTIVE: The purpose of this study was to assess the postoperative outcomes of patients with rectal endometriosis who are managed by full-thickness disc excision and to compare outcomes of the 2 procedures using a transanal approach. DESIGN: This was a prospective study...
October 2015: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/25937595/laparoscopic-double-discoid-resection-with-a-circular-stapler-for-bowel-endometriosis
#10
William Kondo, Reitan Ribeiro, Monica Tessmann Zomer, Renata Hayashi
STUDY OBJECTIVE: To demonstrate the technique of laparoscopic double discoid resection with a circular stapler for bowel endometriosis. DESIGN: Case report (Canadian Task Force classification III). SETTING: Private hospital in Curitiba, Paraná, Brazil. PATIENT: A 33-year-old woman was referred to our service complaining about cyclic dysmenorrhea, dyspareunia, chronic pelvic pain, and cyclic dyschezia. Transvaginal ultrasound with bowel preparation showed a 6-cm endometriotic nodule at the retrocervical area, uterosacral ligaments, posterior vaginal fornix, and anterior rectal wall, infiltrating up to the submucosa, 5 cm far from the anal verge...
September 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/25723864/-interdisciplinary-diagnosis-and-treatment-of-deep-infiltrating-endometriosis
#11
I Alkatout, J-H Egberts, L Mettler, M Doniec, T Wedel, K-P Jünemann, T Becker, W Jonat, T Schollmeyer
Endometriosis is the second most common benign female genital disease after uterine myoma. This review discusses the interdisciplinary approach to the treatment of deep infiltrating endometriosis. Endometriosis has been defined as the presence of endometrial glands and stroma outside the internal epithelial lining of the cavum uteri. As a consequence, endometriosis can cause a wide range of symptoms such as chronic pelvic pain, subfertility, dysmenorrhea, deep dyspareunia, cyclical bowel or bladder symptoms (e...
February 27, 2015: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/25460452/a-case-of-clear-cell-adenocarcinoma-arising-from-endometriosis-of-the-rectum-treated-by-laparoscopic-surgery
#12
Yu Okazawa, Rina Takahashi, Kosuke Mizukoshi, Kazuhiro Takehara, Shun Ishiyama, Kiichi Sugimoto, Makoto Takahashi, Yutaka Kojima, Michitoshi Goto, Atsushi Okuzawa, Yuichi Tomiki, Takashi Yao, Kazuhiro Sakamoto
INTRODUCTION: Malignant transformation of intestinal endometriosis occurring in the extraovarian sites is extremely rare. We report a very rare case of clear cell adenocarcinoma arising from endometriosis of the rectum. PRESENTATION OF CASE: An 83-year-old woman was admitted with the complaint of hematochezia. Colonoscopy revealed a tumor around about half of the rectal circumference. Biopsy of the tumor revealed a well-differentiated adenocarcinoma. Low anterior resection was undergone laparoscopically under the diagnosis of rectal carcinoma...
2014: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25360431/m%C3%A3-llerian-adenosarcoma-arising-from-rectal-endometriosis
#13
Chunseok Yang, Hoon Kyu Oh, Daedong Kim
A Müllerian adenosarcoma is an extremely rare tumor characterized by a stromal component of usually low-grade malignancy and by a benign glandular epithelial component. A Müllerian adenosarcoma occurs mainly in the uterus, but also in extrauterine locations. Extrauterine Müllerian adenosarcomas are thought to arise from endometriotic deposits. A 36-year-old female presented to Daegu Catholic University Medical Center with a symptom of loose stool for several months. The imaging studies revealed a rectal mass, so she underwent a laparoscopic low anterior resection...
October 2014: Annals of Coloproctology
https://www.readbyqxmd.com/read/25109779/is-ileostomy-always-necessary-following-rectal-resection-for-deep-infiltrating-endometriosis
#14
Cherif Akladios, Pietro Messori, Emilie Faller, Marco Puga, Karolina Afors, Joel Leroy, Arnaud Wattiez
OBJECTIVE: To verify the hypothesis that in most patients bowel segmental resection to treat endometriosis can be safely performed without creation of a stoma and to discuss the limitations of this statement. DESIGN: Retrospective study (Canadian Task Force classification III). SETTING: Tertiary referral center. PATIENTS: Forty-one women with sigmoid and rectal endometriotic lesions who underwent segmental resection...
January 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/25007869/standard-high-resolution-pelvic-mri-vs-low-resolution-pelvic-mri-in-the-evaluation-of-deep-infiltrating-endometriosis
#15
Arnaldo Scardapane, Filomenamila Lorusso, Marco Scioscia, Annunziata Ferrante, Amato Antonio Stabile Ianora, Giuseppe Angelelli
OBJECTIVE: To compare the capabilities of standard pelvic MRI with low-resolution pelvic MRI using fast breath-hold sequences to evaluate deep infiltrating endometriosis (DIE). METHODS: Sixty-eight consecutive women with suspected DIE were studied with pelvic MRI. A double-acquisition protocol was carried out in each case. High-resolution (HR)-MRI consisted of axial, sagittal, and coronal TSE T2W images, axial TSE T1W, and axial THRIVE. Low-resolution (LR)-MRI was acquired using fast single shot (SSH) T2 and T1 images...
October 2014: European Radiology
https://www.readbyqxmd.com/read/24864009/laparoscopic-and-transanal-excision-of-large-lower-and-mid-rectal-deep-endometriotic-nodules-the-rouen-technique
#16
Horace Roman, Jean Jacques Tuech
OBJECTIVE: To report an original technique of combined laparoscopic and transanal disc excision of lower- and mid-rectal deep endometriotic nodules. DESIGN: Video article introducing a new surgical technique. SETTING: University hospital. PATIENT(S): A 30-year-old nullipara with symptomatic deep endometriosis-large nodules involving the vagina and the lower rectum over 30 mm. INTERVENTION(S): An original technique of combined laparoscopic and transanal approaches, including deep rectal shaving using PlasmaJet, followed by transanal full thickness disc excision of the shaved area using the Contour Transtar stapler...
August 2014: Fertility and Sterility
https://www.readbyqxmd.com/read/24791966/surgical-outcome-of-deep-infiltrating-colorectal-endometriosis-in-a-multidisciplinary-setting
#17
Robert Bachmann, Cornelia Bachmann, Jessica Lange, Bernhard Krämer, Sara Y Brucker, Diethelm Wallwiener, Alfred Königsrainer, Marty Zdichavsky
BACKGROUND: Endometriosis as a benign disease appears frequently in premenopausal women with highly variable symptoms. In advanced stages bowel involvement is common. In symptomatic disease the adequate treatment requires complete resection of all residues. Indications of colorectal resection for endometriosis remain controversial because of the risk of major complications. The purpose of this study was to show the feasibility of planned complete laparoscopic management of symptomatic deep pelvic endometriosis with bowel involvement performing segmental colorectal resection in a center of excellence...
November 2014: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/24721354/-clinical-efficacies-of-laparoscopic-assisted-rectal-resection-and-transvaginal-removal-for-middle-or-low-rectal-endometriosis
#18
Wu Song, Shuzhong Yao, Shuqin Chen, Fanghai Han, Yulong He
OBJECTIVE: To explore the efficacies and safety of laparoscopic-assisted rectal resection and transvaginal removal for middle or low rectal endometriosis. METHODS: A total of 48 patients with middle or low rectal endometriosis undergoing laparoscopic-assisted transvaginal resection from May 2010 to December 2012 at First Affiliated Hospital, Sun Yat-sen University were enrolled. Postoperative short and long-term complications and clinical efficacies were retrospectively analyzed...
January 14, 2014: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/24632397/deep-rectal-shaving-followed-by-transanal-disc-excision-in-large-deep-endometriosis-of-the-lower-rectum
#19
Horace Roman, Jean-Jacques Tuech, Kirana Arambage
STUDY OBJECTIVE: To report an original technique of deep rectal shaving using PlasmaJet (Plasma Surgical, Inc., Roswell, GA) followed by transanal disc excision using the Contour Transtar stapler (Ethicon EndoSurgery Inc., Cincinnati, OH) suitable in large deep endometriosis of the lower rectum. DESIGN: Canadian Task Force III. SETTING: Rouen University Hospital. The procedure was performed in a 30-year-old nullipara referred with a large endometriotic nodule infiltrating the right uterosacral ligament and the anterolateral wall of the lower rectum...
September 2014: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/24592916/new-disc-excision-procedure-for-low-and-mid-rectal-endometriosis-nodules-using-combined-transanal-and-laparoscopic-approach
#20
H Roman, J-J Tuech
AIM: Colorectal resection in women with endometriosis involving the low and mid rectum may result in a poorer outcome than conservative procedures. In this technical note we present a new technique for transanal full thickness disc excision of endometriosis nodules involving the rectum. METHOD: The procedure is performed by combined laparoscopic and transanal routes. The former involves paring the area of the rectum infiltrated by the nodule, which is then made amenable to endoluminal removal using the Contour Transtar stapler to carry out a large disc excision...
July 2014: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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