Choosing the right technique for deep endometriosis

[en] The surgical management of bowel endometriosis is a real challenge. In addition to the fact that only symptomatic patients should undergo surgery, no consensus has been approved in the literature. Among the surgical techniques, the surgeon has to choose between rectal shaving, disc excision, or segmental colorectal resection. All those procedures are associated with complications, but the risk of rectovaginal fistula is higher if a disc excision or segmental colorectal resection is performed. It is therefore of utmost importance to evaluate preoperatively the bowel infiltration by several imaging techniques to estimate the feasibility of a deep rectal shaving with possible incomplete removal of the endometriotic lesions or to discuss with the patient about the indication of a segmental bowel resection. Because of the risk of major preoperative and postoperative complications, proper patient counseling is mandatory. © 2019

Disciplines :

Reproductive medicine (gynecology, andrology, obstetrics)

Author, co-author :

Nisolle, Michelle ; Université de Liège - ULiège > Département des sciences cliniques > Gynécologie - Obstétrique

BRICHANT, Géraldine ; Centre Hospitalier Universitaire de Liège - CHU > Département de gynécologie-obstétrique > Service de gynécologie-obstétrique (CHR)

TEBACHE, Linda ; Centre Hospitalier Universitaire de Liège - CHU > Département de gynécologie-obstétrique > Service de gynécologie-obstétrique (CHR)

Language :

English

Title :

Choosing the right technique for deep endometriosis

Publication date :

2019

Journal title :

Best Practice and Research. Clinical Obstetrics and Gynaecology

ISSN :

1521-6934

eISSN :

1532-1932

Publisher :

Bailliere Tindall Ltd

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 30 January 2020

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Bibliography

Nisolle, M., Donnez, J., Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 68:4 (1997), 585–596.
Chapron, C., Fauconnier, A., Vieira, M., Barakat, H., Dousset, B., Pansini, V., et al. Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod 18:1 (2003), 157–161.
Remorgida, V., Ferrero, S., Fulcheri, E., Ragni, N., Martin, D.C., Bowel endometriosis: presentation, diagnosis, and treatment. Obstet Gynecol Surv 62:7 (2007), 461–470.
Chapron, C., Chopin, N., Borghese, B., Foulot, H., Dousset, B., Vacher-Lavenu, M.C., et al. Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution. Hum Reprod 21:7 (2006), 1839–1845.
Fauconnier, A., Chapron, C., Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications. Hum Reprod Update 11:6 (2005), 595–606.
van Kaam, K.J., Schouten, J.P., Nap, A.W., Dunselman, G.A., Groothuis, P.G., Fibromuscular differentiation in deeply infiltrating endometriosis is a reaction of resident fibroblasts to the presence of ectopic endometrium. Hum Reprod 23:12 (2008), 2692–2700.
Reich, H., McGlynn, F., Salvat, J., Laparoscopic treatment of cul-de-sac obliteration secondary to retrocervical deep fibrotic endometriosis. J Reprod Med 36:7 (1991), 516–522.
Donnez, J., Nisolle, M., Casanas-Roux, F., Bassil, S., Anaf, V., Rectovaginal septum, endometriosis or adenomyosis: laparoscopic management in a series of 231 patients. Hum Reprod 10:3 (1995), 630–635.
Roman, H., Rectal shaving using PlasmaJet in deep endometriosis of the rectum. Fertil Steril, 100(5), 2013, e33.
Kondo, W., Bourdel, N., Jardon, K., Tamburro, S., Cavoli, D., Matsuzaki, S., et al. Comparison between standard and reverse laparoscopic techniques for rectovaginal endometriosis. Surg Endosc 25:8 (2011), 2711–2717.
Bridoux, V., Roman, H., Kianifard, B., Vassilieff, M., Marpeau, L., Michot, F., et al. Combined transanal and laparoscopic approach for the treatment of deep endometriosis infiltrating the rectum. Hum Reprod 27:2 (2012), 418–426.
Roman, H., Abo, C., Huet, E., Tuech, J.J., Deep shaving and transanal disc excision in large endometriosis of mid and lower rectum: the Rouen technique. Surg Endosc 30:6 (2016), 2626–2627.
Abrao, M.S., Podgaec, S., Dias, J.A. Jr., Averbach, M., Silva, L.F., Marino de Carvalho, F., Endometriosis lesions that compromise the rectum deeper than the inner muscularis layer have more than 40% of the circumference of the rectum affected by the disease. J Minim Invasive Gynecol 15:3 (2008), 280–285.
Wolthuis, A.M., Meuleman, C., Tomassetti, C., D'Hooghe, T., de Buck van Overstraeten, A., D'Hoore, A., Bowel endometriosis: colorectal surgeon's perspective in a multidisciplinary surgical team. World J Gastroenterol 20:42 (2014), 15616–15623.
Meuleman, C., Tomassetti, C., D'Hoore, A., Van Cleynenbreugel, B., Penninckx, F., Vergote, I., et al. Surgical treatment of deeply infiltrating endometriosis with colorectal involvement. Hum Reprod Update 17:3 (2011), 311–326.
Dindo, D., Demartines, N., Clavien, P.A., Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:2 (2004), 205–213.
Roman, H., A national snapshot of the surgical management of deep infiltrating endometriosis of the rectum and colon in France in 2015: a multicenter series of 1135 cases. J Gynecol Obstet Hum Reprod 46:2 (2017), 159–165.
Kondo, W., Bourdel, N., Tamburro, S., Cavoli, D., Jardon, K., Rabischong, B., et al. Complications after surgery for deeply infiltrating pelvic endometriosis. BJOG 118:3 (2011), 292–298.
Roman, H., Vassilieff, M., Tuech, J.J., Huet, E., Savoye, G., Marpeau, L., et al. Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum. Fertil Steril 99:6 (2013), 1695–16704 e6.
Roman, H., Darwish, B., Bridoux, V., Chati, R., Kermiche, S., Coget, J., et al. Functional outcomes after disc excision in deep endometriosis of the rectum using transanal staplers: a series of 111 consecutive patients. Fertil Steril 107:4 (2017), 977–986.e2.
Byrne, D., Curnow, T., Smith, P., Cutner, A., Saridogan, E., Clark, T.J., Laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centres: a multicentre prospective cohort study. BMJ Open, 8(4), 2018, e018924.
Roman, H., Moatassim-Drissa, S., Marty, N., Milles, M., Vallee, A., Desnyder, E., et al. Rectal shaving for deep endometriosis infiltrating the rectum: a 5-year continuous retrospective series. Fertil Steril 106:6 (2016), 1438–1445.e2.
Roman, H., Milles, M., Vassilieff, M., Resch, B., Tuech, J.J., Huet, E., et al. Long-term functional outcomes following colorectal resection versus shaving for rectal endometriosis. Am J Obstet Gynecol 215:6 (2016), 762.e1–762.e9.
Nisolle, M., Alvarez, M.L., Colombo, M., Foidart, J.M., [Pathogenesis of endometriosis]. Gynecol Obstet Fertil 35:9 (2007), 898–903.
Abrao, M.S., Goncalves, M.O., Dias, J.A. Jr., Podgaec, S., Chamie, L.P., Blasbalg, R., Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis. Hum Reprod 22:12 (2007), 3092–3097.
Bazot, M., Lafont, C., Rouzier, R., Roseau, G., Thomassin-Naggara, I., Darai, E., Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril 92:6 (2009), 1825–1833.
Remorgida, V., Ragni, N., Ferrero, S., Anserini, P., Torelli, P., Fulcheri, E., How complete is full thickness disc resection of bowel endometriotic lesions? A prospective surgical and histological study. Hum Reprod 20:8 (2005), 2317–2320.
Exacoustos, C., Malzoni, M., Di Giovanni, A., Lazzeri, L., Tosti, C., Petraglia, F., et al. Ultrasound mapping system for the surgical management of deep infiltrating endometriosis. Fertil Steril 102:1 (2014), 143–150 e2.
Bazot, M., Darai, E., Diagnosis of deep endometriosis: clinical examination, ultrasonography, magnetic resonance imaging, and other techniques. Fertil Steril 108:6 (2017), 886–894.
Nisenblat, V., Prentice, L., Bossuyt, P.M., Farquhar, C., Hull, M.L., Johnson, N., Combination of the non-invasive tests for the diagnosis of endometriosis. Cochrane Database Syst Rev, 7, 2016, CD012281.
Landi, S., Barbieri, F., Fiaccavento, A., Mainardi, P., Ruffo, G., Selvaggi, L., et al. Preoperative double-contrast barium enema in patients with suspected intestinal endometriosis. J Am Assoc Gynecol Laparoscopists 11:2 (2004), 223–228.
Jiang, J., Liu, Y., Wang, K., Wu, X., Tang, Y., Rectal water contrast transvaginal ultrasound versus double-contrast barium enema in the diagnosis of bowel endometriosis. BMJ Open, 7(9), 2017, e017216.
Dousset, B., Leconte, M., Borghese, B., Millischer, A.E., Roseau, G., Arkwright, S., et al. Complete surgery for low rectal endometriosis: long-term results of a 100-case prospective study. Ann Surg 251:5 (2010), 887–895.
Ruffo, G., Sartori, A., Crippa, S., Partelli, S., Barugola, G., Manzoni, A., et al. Laparoscopic rectal resection for severe endometriosis of the mid and low rectum: technique and operative results. Surg Endosc 26:4 (2012), 1035–1040.
Oliveira, M.A., Pereira, T.R., Gilbert, A., Tulandi, T., de Oliveira, H.C., De Wilde, R.L., Bowel complications in endometriosis surgery. Best Pract Res Clin Obstet Gynaecol 35 (2016), 51–62.
Abo, C., Moatassim, S., Marty, N., Saint Ghislain, M., Huet, E., Bridoux, V., et al. Postoperative complications after bowel endometriosis surgery by shaving, disc excision, or segmental resection: a three-arm comparative analysis of 364 consecutive cases. Fertil Steril 109:1 (2018), 172–178 e1.
Roman, H., Bubenheim, M., Huet, E., Bridoux, V., Zacharopoulou, C., Darai, E., et al. Conservative surgery versus colorectal resection in deep endometriosis infiltrating the rectum: a randomized trial. Hum Reprod 33:1 (2018), 47–57.
Carmona, F., Martinez-Zamora, A., Gonzalez, X., Gines, A., Bunesch, L., Balasch, J., Does the learning curve of conservative laparoscopic surgery in women with rectovaginal endometriosis impair the recurrence rate?. Fertil Steril 92:3 (2009), 868–875.
Donnez, O., Roman, H., Choosing the right surgical technique for deep endometriosis: shaving, disc excision, or bowel resection?. Fertil Steril 108:6 (2017), 931–942.
Nezhat, C., Paka, C., Gomaa, M., Schipper, E., Silent loss of kidney seconary to ureteral endometriosis. J Soc Laparoendosc Surg 16:3 (2012), 451–455.
Kho, R.M., Andres, M.P., Borrelli, G.M., Neto, J.S., Zanluchi, A., Abrao, M.S., Surgical treatment of different types of endometriosis: comparison of major society guidelines and preferred clinical algorithms. Best Pract Res Clin Obstet Gynaecol 51 (2018), 102–110.