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Cited by 136Endometriosis Research and TreatmentEndometrial and Cervical Cancer TreatmentsEctopic Pregnancy Diagnosis and Management

Discoid or segmental rectosigmoid resection for deep infiltrating endometriosis: a case-control study

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Fanfani, Francesco, Fagotti, Anna, Gagliardi, Maria Lucia, Ruffo, Giacomo, Ceccaroni, Marcello, Scambia, Giovanni, Minelli, Luca·2010·Fertility and Sterility
DOI 10.1016/j.fertnstert.2009.03.066
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Abstract

Objective To evaluate the efficacy of discoid resection for the treatment of deep infiltrating endometriosis and whether it could be considered to be a valid alternative to the rectosigmoid segmental resection. Design Case-control study. Setting Departments of Obstetrics and Gynecology, Ospedale Sacro Cuore of Negrar, Verona, and Catholic University of the Sacred Heart, Rome, Italy. Patient(s) Women with deep infiltrating and intestinal endometriosis divided into study group (48 patients) and control group (88 patients). Intervention(s) All patients underwent laparoscopic endometriosis excision plus discoid rectosigmoid resection (study group) or segmental resection (control group). Main outcome measure(s) Short- and long-term outcomes. Result(s) In the study group, median operating time was 200 minutes, with a median estimated blood loss of 203 mL. Median ileus was 3 days with a median postoperative hospitalization of 7 days. Early complications were observed in six patients (12.5%), and in two of them (4.16%) a surgical management was necessary. Median follow-up period was 33 months, and five recurrences (10.4%) were registered. In the control group, no significant differences were noticed except for longer operative time, more temporary ileostomy, postoperative fever, and long-term bladder dysfunctions. Conclusion(s) Laparoscopic mechanical discoid resection is feasible, markedly improved endometriosis related symptoms, and could be considered as a worthy alternative to classic segmental resection in selected patients.

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  • At the authors' institution, in the last 7 years, 789 laparoscopic bowel resections for 307 severe endometrioses have been performed.

    “At our institution, in the last 7 years, 789 laparoscopic bowel resections for 307 severe endometrioses have been performed [47, 25–27, 45–48].”

    From Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a case report and review of the literature. (2012) · cites this paper as [27]

    The Materials and Methods section reports 48 laparoscopic discoid resections between January 2003 and December 2007, and Table 2 describes a comparison group of 88 patients. Neither passage establishes the citing institution’s claimed seven-year totals of 789 bowel resections and 307 severe endometriosis cases; searches for those numbers and the seven-year institutional claim found no supporting passage. The smaller study does not rule out a larger institutional total. (LLM, conf=0.74)

    Experimental — accuracy not yet measured

  • Endometriosis has an "onco-mimetic nature", which reflects in many aspects the clinico pathological features of ovarian cancer.

    “As can be easily shown in this case and in our series, endometriosis has in fact an “onco-mimetic nature”, which reflects in many aspects the clinico pathological features of ovarian cancer [25–27, 45–48].”

    From Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a case report and review of the literature. (2012) · cites this paper as [27]

    The Discussion (page not provided) describes deep infiltrating endometriosis as symptomatic and prone to relapse, but does not compare its clinicopathological features with ovarian cancer. Searches for “onco-mimetic nature” and for an ovarian-cancer comparison found no passage addressing that analogy. (LLM, conf=0.72)

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References 32 · Cited by 136

Research works printed but not linked: 29

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Authors
Fanfani, F., Fagotti, A., Gagliardi, M. L., Ruffo, G., Ceccaroni, M., Scambia, G., & Minelli, L.
Affiliations
  • Università Cattolica del Sacro Cuore (IT)
  • Ospedale Sacro Cuore Don Calabria (IT)
Corresponding author
Fanfani, Francesco
ORCID
Venue
Fertility and Sterility
Publisher
Elsevier BV
Published
2010-07
Volume
94
Issue
2
Pages
444-449
ISSN
0015-0282 (ISSN-L)
DOI
10.1016/j.fertnstert.2009.03.066
OpenAlex
W2036747626
Cited by
136
References
32
Citations by year
2026: 4 · 2025: 7 · 2024: 4 · 2023: 3 · 2022: 9 · 2021: 7 · 2020: 16 · 2019: 8 · 2018: 9 · 2017: 11 · 2016: 11 · 2015: 6 · 2014: 7 · 2013: 6 · 2012: 11
FWCI
10.64
Type
journal article
Language
en
Open access
Licence
Locations
  • Fertility and Sterility (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 › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
Keywords
deep infiltrating endometriosis, intestinal endometriosis, postoperative complications, recurrence, postoperative ileus, temporary ileostomy, bladder dysfunction
MeSH terms
Adult, Algorithms, Colectomy, Endometriosis, Female, Humans, Ileostomy, Middle Aged, Laparoscopy, Postoperative Complications, Rectal Diseases, Recurrence, Severity of Illness Index, Sigmoid Diseases, Vagina, Case-Control Studies, Treatment Outcome, Young Adult

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