Cited by 24Endometriosis Research and TreatmentEndometrial and Cervical Cancer TreatmentsColorectal Cancer Surgical Treatments

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Major and minor complications after anterior rectal resection for deeply infiltrating endometriosis

Abstract

Purpose The aim of the present study was to analyze major and minor complications-including long-term impairment of intestinal, bladder, and sexual function-following surgery for deeply infiltrating endometriosis using anterior rectal resection. Methods Patients who had undergone anterior rectal resection due to endometriosis between 2001 and 2011 were included (n = 113). Clinical and surgical data, as well as minor and major complications, were recorded. A questionnaire was sent to the patients and also to a healthy control group (n = 100). Results Major complications occurred in 15.9% of cases and minor complications in 15%. Patients with postoperative ileostomies (n = 8) initially had ultralow anastomoses significantly more often. The questionnaire response rate was 77%, with a mean follow-up period of 85.9 months. Weak urinary flow was reported by 22.4% of the patients: a feeling of residual urine by 18.4%; more than one bowel movement/day by 57.5%; and insufficient lubrication during intercourse by 36.5%. These results differed significantly from the control group. Subgroup analysis showed no statistical associations between questionnaire responses and major or minor complications, ultralow anastomoses, bilateral dissection of the sacrouterine ligaments, or dissection of the vagina and rectovaginal space. Conclusions The major complication rate was consistent with the literature, but there were fewer minor complications. Patients with bowel anastomoses below 6 cm (ultral…

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Crossref · 10.1007/s00404-017-4360-6

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  • In a study evaluating 113 colorectal resections, all patients with rectovaginal fistula (4.4%) had undergone intraoperative excision of endometriotic lesions of the vagina.

    “In this regard, Renner et al. [20] in a study evaluating 113 colorectal resections showed that all patients with rectovaginal fistula (4.4%) had undergone intraoperative excision of endometriotic lesions of the vagina.”

Citations

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Research works printed but not linked: 19

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Metadata

Authors
Renner, S. P., Kessler, H., Topal, N., Proske, K., Adler, W., Burghaus, S., Haupt, W., Beckmann, M. W., & Lermann, J.
Affiliations
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
  • Cleveland Clinic (US)
Corresponding author
Lermann, Johannes
Venue
Archives of Gynecology and Obstetrics
Published
2017-04-03
Volume
295
Issue
5
Pages
1277-1285
ISSN
  • 0003-9128 (ISSN-L)
  • 0932-0067
  • 1432-0711
OpenAlex
W2604225122
Cited by
24
References
5
Citations by year
2024: 1 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 2
FWCI
4.13
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Gynecology and Obstetrics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
  • Health Sciences › Medicine › Oncology › Colorectal Cancer Surgical Treatments
Keywords
deep infiltrating endometriosis, anterior rectal resection, postoperative complications, urinary dysfunction, sexual dysfunction, bowel dysfunction, long-term functional outcome
MeSH terms
Adult, Defecation, Endometriosis, Female, Humans, Postoperative Complications, Rectum, Digestive System Surgical Procedures, Urinary Retention

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