The results of colorectal resection for bowel deep infiltrating endometriosis


Goncharov A.L. Chicherina M.A. Chernyshenko T.A. Levshin F.A. Nenakhov F.V. Kabeshov A.M. Zhakiyev N.S. Gallyamov E.A.
2022Media Sphera Publishing Group

Pirogov Russian Journal of Surgery
2022#2022Issue 1254 - 58 pp.

Objective. To study the early postoperative outcomes of segmental bowel resections in patients with colorectal endometriosis. Material and methods. A retrospective study included 60 patients diagnosed with deep infiltrative endometriosis who underwent surgical treatment with segmental bowel resection between 2016 and 2022. Results. All surgeries performed by two teams (gynecologic & colorectal). 59 operations were performed by laparoscopic access and one open. The average operation time was 263.5±86.0 min, estimated blood loss 126.1 ml (10—400 ml). There were no intraop-erative complications. There were no conversions during laparoscopic surgery. A protective stoma was not required in any patient. The median postoperative hospital stay was 7.5±4.2 days. Bowel function was restored by an average of 4.3±3.1 days. Postoperative complications were in 7 cases (11.6%). Anastomotic leakage occurred in one patient (1.6%). The incidence of urine retention requiring repeated bladder catheterization was 2 (3.3%). Conclusion. The use of a minimally invasive multidisciplinary approach makes it possible to perform the required volume of surgery with excision of all tissues affected by endometriosis with a low level of complications and the absence of conversions.

bowel resection , deep infiltrating endometriosis , endometriosis , laparoscopy

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Central Clinical Hospital with Polyclinic of Administrative Directorate of the President of the Russian Federation, Moscow, Russian Federation
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
Fomins Woman Health Clinic, Moscow, Russian Federation
Regional Perinatal Center, Aktau, Kazakhstan

Central Clinical Hospital with Polyclinic of Administrative Directorate of the President of the Russian Federation
Sechenov First Moscow State Medical University (Sechenov University)
Fomins Woman Health Clinic
Regional Perinatal Center

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