Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2014, Article ID 463058, 5 pages
http://dx.doi.org/10.1155/2014/463058
Clinical Study

Long-Term Outcome after Laparoscopic Bowel Resections for Deep Infiltrating Endometriosis: A Single-Center Experience after 900 Cases

1Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy
2Department of Obstetrics and Gynecology, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy

Received 3 November 2013; Accepted 1 April 2014; Published 29 April 2014

Academic Editor: Giulia Montanari

Copyright © 2014 Giacomo Ruffo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 for dyspareunia, constipation, and pelvic pain and for diarrhea. Nonsignificant improvement was reported for dysuria and rectal bleeding (with and , 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.