Article
Obstetrics & Gynecology
Alexandra Wojtaszewska, Jonathan Lewin, Davor Jurkovic, Ertan Saridogan, Arvind Vashisht, Alfred Cutner, Martin Hirsch
Summary: This study retrospectively evaluated the ability of routinely collected preoperative ultrasound data to predict bowel resection during surgery for rectovaginal endometriosis. The results showed that the location, number, and size of endometriotic nodules were independent predictors of segmental bowel resection.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2022)
Article
Acoustics
Francesco G. Martire, Errico Zupi, Lucia Lazzeri, Giulia Morosetti, Francesca Conway, Gabriele Centini, Eugenio Solima, Adalgisa Pietropolli, Emilio Piccione, Caterina Exacoustos
Summary: This study evaluated TVUS findings in patients who underwent rectosigmoid resection for DIE, finding a high percentage of adhesions and recurrence of posterior DIE. Adenomyosis was observed in 80% of women, indicating its potential link to postoperative symptoms. This suggests that postoperative TVUS can be useful for detecting persistent disease or pelvic adhesions in symptomatic patients.
JOURNAL OF ULTRASOUND IN MEDICINE
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Pascal Rousset, Guillaume Buisson, Jean-Christophe Lega, Mathilde Charlot, Colin Gallice, Eddy Cotte, Laurent Milot, Francois Golfier
Summary: Assessing MRI rectal and pararectal signs can accurately predict the need for segmental resection versus a more conservative approach such as shaving for rectal lesion management. The study found that specific rectal signs and the sacro-recto-genital septum pararectal sign were significantly associated with segmental resection, with nodular thickness and circumference being the most predictive signs. These signs, when combined, were predictive of segmental resection with an accuracy of 90.2%.
EUROPEAN RADIOLOGY
(2021)
Article
Obstetrics & Gynecology
Ezgi Darici, Denise Denkmayr, Daria Pashkunova, Bernhard Dauser, Tudor Birsan, Gernot Hudelist
Summary: This study aimed to investigate the long-term outcomes of pain, quality of life, and gastrointestinal symptoms in women undergoing colorectal surgery for deep endometriosis. The findings showed that both nerve-sparing full-thickness discoid resection (DR) and colorectal segmental resection (SR) provided stable and long-term pain relief with low rates of permanent gastrointestinal function impairment.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2022)
Article
Anesthesiology
Lijun Niu, Lihong Chen, Yanhua Luo, Wenkao Huang, Yunsheng Li
Summary: After laparoscopic endometriosis resection, oxycodone was more potent than morphine for analgesia and had fewer side effects.
BMC ANESTHESIOLOGY
(2021)
Review
Obstetrics & Gynecology
Ezgi Darici, Mohamed Salama, Attila Bokor, Engin Oral, Bernhard Dauser, Gernot Hudelist
Summary: This study conducted a systematic review to assess the possible effects of nerve-sparing segmental resection and conventional bowel resection on postoperative complications for the treatment of colorectal endometriosis. The results indicate that current data are insufficient to determine which technique has an advantage.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2022)
Article
Gastroenterology & Hepatology
Julia Hanevelt, Laura W. Leicher, Leon M. G. Moons, Frank P. Vleggaar, Jelle F. Huisman, Henderik L. van Westreenen, Wouter H. de Vos tot Nederveen Cappel
Summary: This study evaluated the costs of colonoscopic-assisted laparoscopic wedge resection (CAL-WR) compared to segmental colon resection (SCR). CAL-WR was found to have fewer complications, shorter operation time, shorter length of hospital stay, and less use of surgical resources compared to SCR, resulting in a cost savings of approximately £2372 per patient.
COLORECTAL DISEASE
(2023)
Editorial Material
Obstetrics & Gynecology
Mariano Catello Di Donna, Giuseppe Cucinella, Giulio Sozzi, Salvatore Gueli Alletti, Giuseppe Lo Re, Giovanni Scambia, Vito Chiantera
Summary: This study demonstrated the application of surgical neuroanatomic principles in the diagnosis and treatment of deep infiltrative endometriosis involving the lateral femoral cutaneous nerve. A successful resection of an endometriosis nodule infiltrating the nerve, followed by nerve transplantation, led to significant improvement in pain and sensory symptoms in the patient during follow-up.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Review
Medicine, General & Internal
Marta Barba, Andrea Morciano, Tomaso Melocchi, Alice Cola, Alessandra Inzoli, Paolo Passoni, Matteo Frigerio
Summary: This study presented a case of superinfection of rectovaginal endometriosis and reviewed the literature on the superinfection of extra-ovarian endometriosis. Laparoscopic drainage was successful in managing the case, and ultrasound showed nodular or flat hypoechoic lesions with hyperechoic debris and peripheral positive color/power Doppler intensities. The goal of management is to drain the abscess and provide hormonal therapy to reduce recurrence.
Article
Obstetrics & Gynecology
D. L. Byrne, T. L. Curnow, A. Vashisht, T. J. Clark
Summary: A multicentre prospective cohort study showed that laparoscopic excision of deep rectovaginal endometriosis can significantly improve quality of life. However, smoking and previous endometriosis surgery may negatively impact post-operative quality of life.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2021)
Article
Obstetrics & Gynecology
Anni Tuominen, Liisu Saavalainen, Aila Tiitinen, Oskari Heikinheimo, Paivi Harkki
Summary: Women with rectovaginal endometriosis have comparable and good reproductive prognosis regardless of the treatment method. Pregnancy complications such as preterm birth and high cesarean delivery rate were observed, with excessive bleeding being the most common delivery complication.
FERTILITY AND STERILITY
(2021)
Editorial Material
Obstetrics & Gynecology
Mario Malzoni, Marianna Rasile, Marina Coppola, Domenico Iuzzolino, Lucia Casarella, Alessandra Di Giovanni, Francesca Falcone
Summary: This study demonstrated the surgical steps and outcomes of a totally laparoscopic segmental rectal resection in a 31-year-old woman with deep endometriosis. The operation was successful with no intraoperative or postoperative complications, and the patient was discharged on the fifth day postoperatively. Standardization of the surgical technique is crucial for ensuring surgical success.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
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
Summary: This study evaluated the feasibility of laparoscopic rectosigmoid resection for bowel endometriosis and reported surgical and short-term postoperative outcomes. The results showed that laparoscopic rectosigmoid resection is an effective and feasible procedure, but the surgical complication rate is not negligible. However, it can be reduced through multidisciplinary teamwork, improvement in nerve-sparing techniques and surgical anatomy, as well as technological enhancements.
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2023)
Editorial Material
Obstetrics & Gynecology
Danielle Hardman, Robert Bennett, Emad Mikhail
Summary: The study demonstrates the use of laparoscopic ultrasound guidance for laparoscopic shaving of rectosigmoid endometriosis, which enhances complete excision and decreases recurrence.
FERTILITY AND STERILITY
(2023)
Editorial Material
Obstetrics & Gynecology
Dong Bach Nguyen, Sebastien Gilbert, Kristina Arendas, Caitlin A. Jago, Sukhbir S. Singh
Summary: The article presents a five-step approach to laparoscopic excision of pericardial and diaphragmatic endometriosis for the treatment of chronic pelvic pain and infertility. The successful completion of the surgical procedure demonstrates that pericardial and diaphragmatic endometriosis can be managed effectively through multidisciplinary and stepwise surgical intervention.
FERTILITY AND STERILITY
(2021)