Comparison-of-long-term-functional-outcomes-following

Comparison of long-term functional outcomes following colorectal resection or
conservative rectal surgery for deep endometriosis infiltrating the rectum
Abstract ID : 1107
Soumis par : Basma Darwish Le 2016-01-31 21:33:36
Nom de la catégorie : SEUD CONGRESS
Typologie : Communication orale / Oral communication
Statut : validé
Autorisation de diffusion : Yes/Oui
------------------------------------Introduction and objective:
To compare long-term digestive outcomes in women managed by either conservative rectal surgery or colorectal
resection for deep endometriosis infiltrating the rectum
Methods:
A retrospective comparative study including 74 patients managed by surgery for deep endometriosis infiltrating the
rectum whose follow up ranged from 5-10 years. 49 patients received conservative rectal surgery (shaving in 46 and disc
excision in 3) and 25 had colorectal resection.. Evaluation included standardized GI symptoms: the GIQLI, KESS , the
bristol stool score and the wexner score for anal continence.
Results:
Patients managed by conservative rectal surgery had better overall KESS score, Wexner score and GIQLI values. In
regards to KESS score, significant differences were revealed in 9 out of 11 items; and better values were invariably
asscociated with conservative rectal surgery and indicated a lower rate for postoperative constipation. Statistically
significant differences were not revealed for either pelvic pain or fertility outcomes. Rectal recurrences occured in 8%
managed by conservative surgery of which 4% received colorectal resection and 4% shaving. Patients managed by
conservative surgery were significantly more satisfied by their postoperative general health, and were more likely to
recommend surgery to a friend suffering from the disease.
Discussion and Conclusion:
Our data suggests that performing conservative rectal surgery leads to better functional digestive otcomes in women
presenting with rectal endometriosis.
------------------------------------Mots clefs : rectal endometriosis; colorectal resection; shaving; disc excision; colorectal endometriosis
Auteurs :
Références : , , ,
Auteurs
Basma DARWISH 1, Horace Roman 1, Mathilde Milles 1, JJ Tuech 2, Emmanuel Huet 2,
1. Gynecology, Rouen University Hospital, Rouen, FRANCE
2. Digestive Surgery, Rouen University Hospital, Rouen, FRANCE
Auteurs (raw format)
DARWISH Basma - email : [email protected] Etablissement : Rouen University Hospital Service : Gynecology
Ville : Rouen Pays : FRANCE Présentateur : Oui
Roman Horace - email : Etablissement : Rouen University Hospital Service : Gynecology Ville : Rouen Pays : FRANCE
Présentateur : Non
Milles Mathilde - email : Etablissement : Rouen University Hospital Service : Gynecology Ville : Rouen Pays : FRANCE
Présentateur : Non
Tuech JJ - email : Etablissement : Rouen University Hospital Service : Digestive Surgery Ville : Rouen Pays : FRANCE
Présentateur : Non
Huet Emmanuel - email : Etablissement : Rouen University Hospital Service : Digestive Surgery Ville : Rouen Pays :
FRANCE Présentateur : Non