Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2015 (2015), Article ID 514383, 6 pages
http://dx.doi.org/10.1155/2015/514383
Research Article

Clinical Outcome after Colonic Resection in Women with Endometriosis

1Second Surgical Department, Ludwig Boltzmann Institute for Surgical Laparoscopy, Academic Teaching Hospital, Linz General Hospital, 4021 Linz, Austria
2Faculty of Medicine, Johannes Kepler University, 4040 Linz, Austria
3Department of Obstetrics and Gynecology, Women’s General Hospital, 4020 Linz, Austria
4Department of Gynecology, Erlangen University Hospital, 91054 Erlangen, Germany
5Department of Applied Systems Research and Statistics, Johannes Kepler University, 4040 Linz, Austria

Received 29 July 2014; Accepted 18 August 2014

Academic Editor: Sanjay K. Agarwal

Copyright © 2015 Bettina Klugsberger 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. In severe forms of endometriosis, the colon or rectum may be involved. This study evaluated the functional results and long-term outcome after laparoscopic colonic resection for endometriosis. Patients and Methods. Questionnaire survey with 24 women who had experienced typical symptoms, including pelvic pain, infertility, and endometriotic lesions in the bowel and undergone laparoscopic surgery, including low anterior resection, from 2009 to 2012, was conducted. Results. Information about the postoperative outcome was obtained from 22 women and was analyzed statistically. Twenty-one had undergone low anterior resection; one patient required a primary Hartmann procedure due to a rectovaginal fistula. The conversion rate was 4.5%. Major complications occurred in one patient, including an anastomotic leakage, and a Hartmann procedure was carried out subsequently in this patient. The symptoms of pain during defecation, pelvic pain, dyspareunia, dysmenorrhea, and hematochezia showed clear improvement one year after the operation and at the time of the questionnaire. Conclusion. Laparoscopic low anterior resection for deeply infiltrative endometriosis is technically demanding but feasible and safe, and it improves the clinical symptoms of endometriosis in the bowel.