Long‐term follow‐up and recurrence rate after mesorectum‐sparing bowel resection among women with rectovaginal endometriosis

Mandy Mangler, Julia Herbstleb, Sylvia Mechsner, Julia Bartley, Achim Schneider, Christhardt Köhler
International Journal of Gynecology & Obstetrics · 2014 · vol. 125(3) , pp. 266–269 · doi:10.1016/j.ijgo.2013.12.010 · PMID:24726619 · W2017299170
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This study evaluated 110 women with rectovaginal endometriosis treated with a nerve-sparing vaginal-abdominal approach, finding no rectovaginal septum recurrence after a median 64-month follow-up and 0% long-term complications.

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Abstract

OBJECTIVE: To demonstrate the quality of a combined vaginal-abdominal surgical approach to rectovaginal endometriosis by analyzing long-term outcome and recurrence rates. METHODS: In a prospective cohort study in Berlin, Germany, women with endometriosis of the rectovaginal septum were enrolled between September 2004 and December 2012. Bowel infiltration was verified intraoperatively and treated by a nerve-sparing, mesentery-preserving vaginal-abdominal operative approach. Operative results were evaluated by assessing short- and long-term complications and recurrence rates. RESULTS: During the study period, 110 women underwent surgery. For 71 (64.5%) patients, bowel infiltration was confirmed intraoperatively. Overall, 15% of the patients had peri- or postoperative complications. No long-term complications occurred. After a median follow-up of 64 months, no recurrence in the rectovaginal septum was observed among the study patients. The recurrence of pelvic endometriosis was 15%. CONCLUSION: The surgical nerve-sparing approach to rectovaginal endometriosis was confirmed to facilitate precise diagnosis and treatment with minimal morbidity and a long-term complication rate of 0%.

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Condition tags

mesh:D004715endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Rectal Diseases Vaginal Diseases Adult Berlin Cohort Studies Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Humans Middle Aged Organ Sparing Treatments Organ Sparing Treatments Postoperative Complications Postoperative Complications Prospective Studies Rectal Diseases Rectal Diseases

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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