Complications after surgery for deeply infiltrating pelvic endometriosis: Complications after surgery for deep endometriosis
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OBJECTIVE: to evaluate the complications after surgery for deep endometriosis. DESIGN: retrospective study. SETTING: data from the CHU Estaing database and patients' charts between January 1987 and December 2007. SAMPLE: all women given surgical treatment for deep endometriosis. METHODS: women who underwent surgery for deep endometriosis were reviewed for intra- and postoperative complications. MAIN OUTCOME MEASURES: primary outcomes were rates of intra- and postoperative complications. Complications were compared according to the procedure performed. RESULTS: a total of 568 women were included in the study, with a mean age of 32.4 years. The mean estimated diameter of the nodule felt by vaginal examination was 1.8 cm (ranging from 0.5 to 7 cm). Laparoscopic surgery was performed in 560 women (98.6%), and conversion was required in 2.3%. The mean operative time was 155 minutes. Intraoperative complications occurred in 12 women (2.1%), including six minor (1.05%) and six major (1.05%) complications. Postoperative complications developed in 79 women (13.9%), including 54 minor (9.5%) and 26 major (4.6%) complications (one woman had both minor and major postoperative complications). The overall major postoperative complication rate for women who underwent any type of rectal surgery (shaving, excision and suture, or segmental resection) was 9.3% (21 out of 226), compared with only 1.5% for the other women (five out of 342) (P < .01). Shaving presented less major postoperative complications compared with segmental resection (24 versus 6.7%; P = 0.004). CONCLUSIONS: surgery for deep endometriosis is feasible, but it is associated with major complications, especially when any type of rectal surgery must be performed.
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Excision of deep infiltrating endometriosis is associated with a relatively high incidence of complications, especially when rectovaginal and bowel lesions are present.
“excision of deep infiltrating forms is associated with a relatively high incidence of complications, especially when rectovaginal and bowel lesions are present (3,7,8).”
From A stepped-care approach to symptomatic endometriosis management: A participatory research initiative (2018) · cites this paper as [8]
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- Authors
- Kondo, W., Bourdel, N., Tamburro, S., Cavoli, D., Jardon, K., Rabischong, B., Botchorishvili, R., Pouly, J., Mage, G., & Canis, M.
- Affiliations
- Centre Hospitalier Universitaire de Clermont-Ferrand (FR)
- Corresponding author
- Kondo, W
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2010-11-18
- Volume
- 118
- Issue
- 3
- Pages
- 292-298
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- OpenAlex
- W1840818487
- Cited by
- 208
- References
- 21
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 12 · 2023: 8 · 2022: 18 · 2021: 15 · 2020: 24 · 2019: 22 · 2018: 17 · 2017: 16 · 2016: 10 · 2015: 5 · 2014: 13 · 2013: 9 · 2012: 16
- FWCI
- 12.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (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 › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- postoperative complications, intraoperative complications, laparoscopic surgery, rectal endometriosis, segmentectomy, shaving, conversion to open surgery, surgical outcomes
- MeSH terms
- Adult, Endometriosis, Feasibility Studies, Female, Humans, Intraoperative Complications, Length of Stay, Middle Aged, Pelvis, Postoperative Complications, Rectal Diseases, Retrospective Studies, Uterine Diseases, Vaginal Diseases, Young Adult
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