Laparoscopic versus laparotomic radical en bloc hysterectomy and colorectal resection for endometriosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-06-08

AUTHORS

Emile Daraï, Marcos Ballester, Elisabeth Chereau, Charles Coutant, Roman Rouzier, Estelle Wafo

ABSTRACT

BackgroundRadical en bloc hysterectomy and colorectal resection (REHCR) is the ultimate and radical surgery for extensive pelvic endometriosis. Our aims were to evaluate feasibility, quality of life, and urinary function after REHCR by laparoscopy compared with laparotomy.MethodsSingle-center, retrospective study of 29 endometriosis patients having undergone REHCR (16 by laparoscopy, 13 by laparotomy). Gynecologic and digestive symptoms, quality of life [Short-Form (SF)-36 health status], and urinary function [International Prostate Score Symptoms (IPSS) and Bristol Female Lower Urinary Tract Symptoms (BFLUTS)] were evaluated using validated questionnaires.ResultsExcept for mean age, no difference in epidemiologic characteristics was found between groups. Mean follow-up was 14 months (range 1–78 months). Four of the 16 patients (25%) of the laparoscopic group required laparoconversion. Consumption of analgesic drugs was lower in the laparoscopic group, and diarrhea (P < 0.001) and lower back pain (P < 0.001) improved. Improvement in dysmenorrhea (P < 0.001), dyspareunia (P < 0.001), asthenia (P < 0.001), and quality of life was observed without difference between groups. Urinary function was not altered and did not differ between groups.ConclusionOur data support the feasibility of REHCR by laparoscopy with less analgesic consumption. Efficacy in terms of symptoms and improvement in quality of life were similar between groups, suggesting that laparoscopy should be offered to patients requiring REHCR. More... »

PAGES

3060-3067

References to SciGraph publications

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URI

http://scigraph.springernature.com/pub.10.1007/s00464-010-1089-8

DOI

http://dx.doi.org/10.1007/s00464-010-1089-8

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https://app.dimensions.ai/details/publication/pub.1031818060

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20532571


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