Deep Endometriosis
Conditions
Keywords
Endometriosis, Gynaecology, Surgery, Anastomosis, Segmental resection
Brief summary
Impact on the quality of life (in terms of functional recovery and gastrointestinal symptoms) of segmental resection surgery in patients with intestinal endometriosis undergoing either a totally intracorporeal or extracorporeal procedure
Detailed description
Surgery is the treatment of choice for deep endometriosis with bowel involvement and endometriosis nodules will be treated by segmental resection and subsequent anastomosis packing. Anastomosis packing with a totally intracorporeal approach may be a successful solution to reduce some of the complications after discoid or segmental resection with conventional laparotomic approach for extracorporeal anastomosis. Setting up the colorectal anastomosis with a totally intracorporeal approach represents a surgical method that has been recently introduced but is already approved in terms of safety and reproducibility. However, experience with this technique is currently limited and there is no established consensus regarding patient suitability or data on longer-term outcomes. New studies are therefore needed to further validate the technique and to fully assess its long-term benefits resulting in increased quality of life for operated patients or to identify any associated complications. The aim of the study is therefore to describe the impact on the quality of life (in terms of functional recovery and gastrointestinal symptoms) of segmental resection surgery in patients with intestinal endometriosis who underwent either a totally intracorporeal or extracorporeal procedure. In addition, the aim is to detect any differences in the duration of the operating time, compare the duration of the postoperative hospital stay and determine the success rate of the totally intracorporeal procedure
Interventions
None listed
Sponsors
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 54 Years
Healthy volunteers
No
Inclusion criteria
* Women between 18 and 54 years of age * Diagnosis, by instrumental examination such as transvaginal ultrasound, of deep endometriosis with suspected intestinal involvement * Intraoperative indication for segmental resection for intestinal endometriosis * Obtaining informed consent for study participation and data processing
Exclusion criteria
* Patients with a known concomitant inflammatory bowel syndrome (inflammatory bowel syndrome) * Patients undergoing emergency/emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Impact on the quality of life (in terms of functional recovery and gastrointestinal symptoms) of segmental resection surgery in patients with intestinal endometriosis undergoing either a totally intracorporeal or extracorporeal procedure | During the preoperative evaluation and at 3 months after surgery as part of the postoperative follow-up visit | Evaluation by scoring the validated Low Anterior Resection Syndrome score questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Detect any differences in the duration of the total operating time in the two different treatments | During surgery | Total operating time measured in minutes |
| Duration of hospitalisation in the two different types of surgery | From date of surgery until the discharge (0-30 days) | Measurement of hospitalisation time after surgery |
| Success rate of the totally intracorporeal procedure in patients with deep endometriosis with bowel involvement undergoing segmental resection surgery | At 3 months after surgery | Number of successfully completed operations out of the total number of operations performed with a fully intracorporeal approach. The success of the intervention is established intraoperatively by performing hydropneumatic tests of the integrity of the anastomosis and during the operative course by assessing the possible occurrence of complications |
| Incidence of intra-operative complications (rectorrhagia, anastomotic dehiscence, intussusception, stenosis of the anastomosis, intraperitoneal haemorrhage, conversion to laparotomic surgery) and evaluate any differences in these between the two groups | At 3 months after surgery | Number of operations in which one (or more) of the intra-operative complications occurred out of the total number of operations performed with a totally intracorporeal approach |
| Incidence of post-operative complications in the two different surgical treatments | Within 3 months of surgery | Number of operations in which one (or more) of the post-operative complications described above occurred out of the total number of operations performed |
Countries
Italy
Contacts
Primary ContactDiego Raimondo, MD
Backup ContactStefano Ferla, MD
Outcome results
None listed