General obstetrics and gynecology: gynecologyLong-term follow-up after conservative surgery for rectovaginal endometriosis
Section snippets
Material and methods
We conducted a descriptive study on the clinical follow up after conservative surgery for rectovaginal endometriosis, for which Institutional Board approval was not requested. We considered a series of 106 patients who underwent surgery by the senior author for rectovaginal endometriosis from November 1995 to November 2001 at the University Hospital of Verona and from December 2001 to June 2002 at University of Milano. To be part of the study population, the following criteria had to be
Results
Of the 106 patients, 10 patients (9.4%) were treated with a not conservative treatment in consideration of their age and no further fertility desire; 13 patients (12.6%) were lost to follow-up; and 83 patients (80.6%) satisfied the inclusion criteria and form the actual study population. The clinical characteristics of these patients are given in Table I. Twenty-one patients were treated with laparoscopy, and 62 patients required a laparotomy approach. Thirty patients, all at stage IV according
Comment
Our results show that symptomatic disease recurrence within 3 years affects only approximately 25.0% of the patients who receive conservative treatment for rectovaginal endometriosis. The risk is higher for younger women and lower if surgical excision has included also a segmental bowel resection and anastomosis. Our study has some intrinsic limitations that are worth mentioning: the study population is rather small and as such does not allow a detailed evaluation of the numerous different
References (10)
- et al.
Buserelin acetate in the treatment of pelvic pain associated with minimal and mild endometriosis: a controlled study
Fertil Steril
(1993) - et al.
Recurrence of ovarian endometrioma after laparoscopic excision
Am J Obstet Gynecol
(1999) Conservative laparoscopic excision of endometriosis by sharp dissection: life table analysis of reoperation and persistent or recurrent disease
Fertil Steril
(1991)- et al.
Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en-bloc resection
Fertil Steril
(2001) - et al.
Fibrosis and smooth muscle metaplasia in rectovaginal endometriosis
Pathol Int
(2003)
Cited by (206)
Predictive value of 4th post-operative-day CRP in the early detection of complications after laparoscopic bowel resection for endometriosis
2021, Journal of Gynecology Obstetrics and Human ReproductionLong-term follow-up of endometriosis surgery in Ontario: a population-based cohort study
2021, American Journal of Obstetrics and GynecologyDeep endometriosis: The place of laparoscopic shaving
2021, Best Practice and Research: Clinical Obstetrics and GynaecologySurgical Outcomes in Patients With Endometriosis: A Systematic Review
2020, Journal of Obstetrics and Gynaecology CanadaPrevesical peritoneum interposition to prevent risk of rectovaginal fistula after en bloc colorectal resection with hysterectomy for endometriosis: Results of a pilot study
2020, Journal of Gynecology Obstetrics and Human ReproductionRecurrence after Surgery for Colorectal Endometriosis: A Systematic Review and Meta-analysis
2020, Journal of Minimally Invasive Gynecology