Academic Journal
Clinical outcome after CO 2 laser laparoscopic radical excision of endometriosis with colorectal wall invasion combined with laparoscopic segmental bowel resection and reanastomosis
| العنوان: | Clinical outcome after CO 2 laser laparoscopic radical excision of endometriosis with colorectal wall invasion combined with laparoscopic segmental bowel resection and reanastomosis |
|---|---|
| المؤلفون: | C Meuleman, C Tomassetti, A D'hoore, A Buyens, B Van Cleynenbreugel, S Fieuws, F Penninckx, I Vergote, T D'hooghe |
| المساهمون: | The Pennsylvania State University CiteSeerX Archives |
| المصدر: | http://www.royanaward.com/files13/Hum%20Reprod%202011.pdf. |
| المجموعة: | CiteSeerX |
| الوصف: | background: Laparoscopic segmental bowel resection and reanastomosis for endometriosis with colorectal wall invasion can be associated with high complication rates. This study was performed to test the hypothesis that this high complication rate can be prevented and combined with a good clinical outcome, following a multidisciplinary surgical approach. results: No immediate major post-operative complications requiring surgical reintervention were recorded. Gynaecological pain (P , 0.0001), sexual function (P , 0.03) and QOL (P , 0.0001), improved significantly after a median follow-up period of 27 (range: 16-40) months. Although five patients (11%) had a surgical reintervention, histologically proven recurrent endometriosis was observed in only two (4%), with a cumulative endometriosis recurrence rate of 2.2 and 4.4% after 1 and 3 years, respectively. Thirteen of 28 patients who wanted to become pregnant conceived after surgery. One patient delivered twice. These 14 pregnancies were achieved spontaneously (n ¼ 9) or after IVF (n ¼ 5). The cumulative pregnancy rate was 47% after 3 years. conclusion: Pain, sexual function and QOL improved significantly and were associated with a good fertility rate and a low complication and recurrence rate after a CO 2 laser laparoscopic radical excision of endometriosis with colorectal wall invasion combined with laparoscopic segmental bowel resection and reanastomosis. |
| نوع الوثيقة: | text |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.1046.4729; http://www.royanaward.com/files13/Hum%20Reprod%202011.pdf |
| الاتاحة: | http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.1046.4729 http://www.royanaward.com/files13/Hum%20Reprod%202011.pdf |
| Rights: | Metadata may be used without restrictions as long as the oai identifier remains attached to it. |
| رقم الانضمام: | edsbas.AFBB1E35 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |