Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis: A single-center experience after 900 cases

Giacomo Ruffo, Filippo Scopelliti, Alberto Manzoni, Alberto Sartori, Roberto Rossini, Marcello Ceccaroni, Luca Minelli, Stefano Crippa, Stefano Partelli, Massimo Falconi

Research output: Contribution to journalArticle

Abstract

Background. Laparoscopic bowel resections for endometriosis are safe and effective but only short-term follow-up has been evaluated. In the present study long-term outcome in terms of intestinal and urinary function, fertility, chronic pain, and recurrence was assessed. Materials and Methods. From January 2002 to December 2010 nine hundred patients underwent laparoscopic bowel resection for endometriosis, and on 774 (86%) a questionnaire was administered. Patients were divided into 3 groups on the strength of the operation date. Postoperative diarrhea, constipation, rectal bleeding, tenesmus, dyschezia, dysuria, dyspareunia, fertility, and recurrence of disease were assessed. Results. The median follow-up was 54 months (range 1-120). All the evaluated symptoms significantly improved over time, with P = 0.0001 for dyspareunia, constipation, and pelvic pain and P = 0.004 for diarrhea. Nonsignificant improvement was reported for dysuria and rectal bleeding (with P = 0.452 and P = 0.097, resp.). Conclusions. The present results confirm that bowel resections for endometriosis are correlated with an acceptable complication rate even at long-term follow-up and that symptoms significantly improve over time, except for rectal bleeding and dysuria, the latter associated with a neurological damage.

Original languageEnglish
Article number463058
JournalBioMed Research International
Volume2014
DOIs
Publication statusPublished - 2014

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Dysuria
Endometriosis
Constipation
Dyspareunia
Hemorrhage
Fertility
Diarrhea
Recurrence
Pelvic Pain
Chronic Pain

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Microbiology(all)
  • Medicine(all)

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Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis : A single-center experience after 900 cases. / Ruffo, Giacomo; Scopelliti, Filippo; Manzoni, Alberto; Sartori, Alberto; Rossini, Roberto; Ceccaroni, Marcello; Minelli, Luca; Crippa, Stefano; Partelli, Stefano; Falconi, Massimo.

In: BioMed Research International, Vol. 2014, 463058, 2014.

Research output: Contribution to journalArticle

Ruffo, G, Scopelliti, F, Manzoni, A, Sartori, A, Rossini, R, Ceccaroni, M, Minelli, L, Crippa, S, Partelli, S & Falconi, M 2014, 'Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis: A single-center experience after 900 cases', BioMed Research International, vol. 2014, 463058. https://doi.org/10.1155/2014/463058
Ruffo, Giacomo ; Scopelliti, Filippo ; Manzoni, Alberto ; Sartori, Alberto ; Rossini, Roberto ; Ceccaroni, Marcello ; Minelli, Luca ; Crippa, Stefano ; Partelli, Stefano ; Falconi, Massimo. / Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis : A single-center experience after 900 cases. In: BioMed Research International. 2014 ; Vol. 2014.
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AU - Ruffo, Giacomo

AU - Scopelliti, Filippo

AU - Manzoni, Alberto

AU - Sartori, Alberto

AU - Rossini, Roberto

AU - Ceccaroni, Marcello

AU - Minelli, Luca

AU - Crippa, Stefano

AU - Partelli, Stefano

AU - Falconi, Massimo

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N2 - Background. Laparoscopic bowel resections for endometriosis are safe and effective but only short-term follow-up has been evaluated. In the present study long-term outcome in terms of intestinal and urinary function, fertility, chronic pain, and recurrence was assessed. Materials and Methods. From January 2002 to December 2010 nine hundred patients underwent laparoscopic bowel resection for endometriosis, and on 774 (86%) a questionnaire was administered. Patients were divided into 3 groups on the strength of the operation date. Postoperative diarrhea, constipation, rectal bleeding, tenesmus, dyschezia, dysuria, dyspareunia, fertility, and recurrence of disease were assessed. Results. The median follow-up was 54 months (range 1-120). All the evaluated symptoms significantly improved over time, with P = 0.0001 for dyspareunia, constipation, and pelvic pain and P = 0.004 for diarrhea. Nonsignificant improvement was reported for dysuria and rectal bleeding (with P = 0.452 and P = 0.097, resp.). Conclusions. The present results confirm that bowel resections for endometriosis are correlated with an acceptable complication rate even at long-term follow-up and that symptoms significantly improve over time, except for rectal bleeding and dysuria, the latter associated with a neurological damage.

AB - Background. Laparoscopic bowel resections for endometriosis are safe and effective but only short-term follow-up has been evaluated. In the present study long-term outcome in terms of intestinal and urinary function, fertility, chronic pain, and recurrence was assessed. Materials and Methods. From January 2002 to December 2010 nine hundred patients underwent laparoscopic bowel resection for endometriosis, and on 774 (86%) a questionnaire was administered. Patients were divided into 3 groups on the strength of the operation date. Postoperative diarrhea, constipation, rectal bleeding, tenesmus, dyschezia, dysuria, dyspareunia, fertility, and recurrence of disease were assessed. Results. The median follow-up was 54 months (range 1-120). All the evaluated symptoms significantly improved over time, with P = 0.0001 for dyspareunia, constipation, and pelvic pain and P = 0.004 for diarrhea. Nonsignificant improvement was reported for dysuria and rectal bleeding (with P = 0.452 and P = 0.097, resp.). Conclusions. The present results confirm that bowel resections for endometriosis are correlated with an acceptable complication rate even at long-term follow-up and that symptoms significantly improve over time, except for rectal bleeding and dysuria, the latter associated with a neurological damage.

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