Feasibility, complications and recurrence following discoid resection for colorectal endometriosis: a series of 93 cases

Publication date: Available online 19 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Aude Jayot, Sofiane Bendifallah, Carole Abo, Alexandra Arfi, Clémentine Owen, Emile DaraiABSTRACTLaparoscopic discoid colorectal resection is a surgical option for bowel endometriosis, one of the most severe forms of endometriosis. However, no study has clearly analysed the feasibility, or the complication and recurrence rates of the procedure in a homogeneous population with specific criteria for discoid resection. The aims were to evaluate the rate of conversion to segmental resection, the need for double discoid resection, and the complication and recurrence rates.We conducted a prospective study of 93 consecutive patients who underwent discoid resection in Tenon University Hospital in Paris. The median follow-up was 20 months. We included patients with colorectal endometriosis (≤3cm long and <90° of bowel circumference) experiencing failure of medical treatment or associated infertility.All the patients underwent a discoid colorectal resection using a transanal circular stapler.The primary endpoint was the rate of conversion to segmental resection (3.2%). The second endpoint was the rate of double discoid resection (6.5%). The overall complication rate was 24% and the severe complication rate Clavien-Dindo IIIB was 3% (n=4). Postoperative voiding dysfunction requiring bladder self-catheterization was observed in 16% (n=15). The mean duration of bladder self-ca...

Source: Journal of Minimally Invasive Gynecology - July 19, 2019 Category: OBGYN Source Type: research