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Medline ® Abstract for Reference 33

of 'Endometriosis: Treatment of rectovaginal and bowel disease'

Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases.
Ruffo G, Scopelliti F, Scioscia M, Ceccaroni M, Mainardi P, Minelli L
Surg Endosc. 2010;24(1):63.
BACKGROUND: Complete removal of all visible lesions is considered the adequate treatment of pelvic endometriosis in order to reduce recurrence. Laparoscopic colorectal resection of bowel endometriosis is still challenging. A large series is reported.
METHODS: A longitudinal evaluation of surgical and clinical complications of 436 cases of severe endometriosis with colorectal resection was carried out. All procedures were performed laparoscopically in a single center and short-term complications were surveyed.
RESULTS: The overall complication rate was 8.3% with need for laparoconversion in 3.2%. Sixty patients required blood transfusion (13.7%), and rectovaginal fistulae were the most frequent postoperative complication (3.2%).
CONCLUSION: Laparoscopic colorectal resection for endometriosis is a relatively safe procedure in a context of close collaboration between gynecologists and surgeons, although it requires adequate training.
Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Verona, Italy.