SURGICAL OUTCOMES AFTER LAPAROSCOPIC

COLORECTAL RESECTION FOR DEEP

INFILTRATING BOWEL ENDOMETRIOSIS

OBJECTIVE :

To assess the surgical outcomes and the quality of life pertaining to gastrointestinal

symptoms and sexual life after laparoscopic colorectal resection of deep infiltrating

endometriosis [DIE]

MATERIAL AND METHODS:

Retrospective case series of 230 patients who underwent laparoscopic

rectosigmod resection with colorectal anastomosis at Galaxy Care hospital, Pune, INDIA

Patient Characteristics:

median age -28 years.Symptoms include dysmenorrhoea (100%),

dyspareunia (93.5%) chronic intermentsrual pain (83.2%) bowel symptoms (42.9%)

and for infertility evaluation (74.5%)

PARAMETERS ASSESSED:

Surgical results in terms of anatomical and functional integrity of

bowel, bowel continence and quality of life pertaining to

gastrointestinal quality of life and sexual life were assessed.

CONCLUSION:

DIE surgery by segmental resection allows an overall significant longterm

improvement in pelvic pain, gastrointestinal complaints and

quality of life, as well as a negligible recurrence rate.

This improvement occurs shortly after surgery and remains stable >5

years postoperatively.

Our data demonstrate that symptomatic patients may benefit from

laparoscopic surgery for DIER with favourable long-term outcomes.