dc.contributor.author
Abesadze, Elene
dc.contributor.author
Chiantera, Vito
dc.contributor.author
Sehouli, Jalid
dc.contributor.author
Mechsner, Sylvia
dc.date.accessioned
2022-07-21T11:34:57Z
dc.date.available
2022-07-21T11:34:57Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/35623
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-35337
dc.description.abstract
Introduction: Deep infiltrating endometriosis (DIE) affects between 3.8% and 37% of all endometriosis patients, mostly affecting rectovaginal septum or retrocervical space and characterized by the severe endometriosis-related complaints. Nowadays, generally managed with surgery. However, this is associated with a risk of postoperative complications. To better evaluate intra- and postoperative complications and outcomes for rectovaginal (RVE) and retrocervical endometriosis (RCE), the preoperative management should be accurately described and compared.
Methodology: This is a cohort retrospective study performed at the Endometriosis Centre of Charité-University Clinic, Berlin. 34 patients were investigated in their reproductive age, n = 19 with RVE and n = 15 RCE, operated between 2011 and 2015. The surgical approach was divergent in both groups. Single laparoscopy was performed in RCE patients (RCEP) and vaginal assisted laparoscopy in RVE patients (RVEP). Long-term postoperative outcome included complications, fertility rate and recurrence rate.
Results: The median follow-up time was three years (y). Symptom-free status was revealed in n = 12 RVEP and n = 9 RCEP. Postoperatively, endometriosis-related complaints were presented in n = 7 RVEP and n = 6 RCEP, but with significant pain relief. From n = 8 RVE patients seeking fertility, pregnancy occurred in n = 7 and from n = 9 RCEP pregnancy appeared in n = 5 patients in the meantime of 6 months. Postoperative complications were reported in n = 1 RVEP with early postoperative bleeding, after ureter leakage and n = 1 RCEP with postoperative anastomotic insufficiency. The postoperative recurrence rate was equivalent to zero.
Conclusion: The appropriate surgical approach for each group, preserving anatomy and functionality of the organs, seems to be very essential and efficient.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Rectovaginal endometriosis
en
dc.subject
Retrocervical endometriosis
en
dc.subject
Surgical technique
en
dc.subject
Recurrence rate
en
dc.subject
Fertility rate
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Post-operative management and follow-up of surgical treatment in the case of rectovaginal and retrocervical endometriosis
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s00404-020-05686-0
dcterms.bibliographicCitation.journaltitle
Archives of Gynecology and Obstetrics
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.pagestart
957
dcterms.bibliographicCitation.pageend
967
dcterms.bibliographicCitation.volume
302
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32661754
dcterms.isPartOf.issn
0932-0067
dcterms.isPartOf.eissn
1432-0711