Skip Navigation



Hum. Reprod. Advance Access published online on May 5, 2005
Human Reproduction, doi:10.1093/humrep/dei047
This Article
Right arrow FREE Full Text (PDF ) Freely available
Right arrow All Versions of this Article:
20/8/2317    most recent
dei047v1
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Remorgida, V.
Right arrow Articles by Fulcheri, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Remorgida, V.
Right arrow Articles by Fulcheri, E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Article

How complete is full thickness disc resection of bowel endometriotic lesions? A prospective surgical and histological study

V. Remorgida 1*, N. Ragni 1, S. Ferrero 1, P. Anserini 1, P. Torelli 2, and E. Fulcheri 3

1 Department of Obstetrics and Gynaecology, San Martino Hospital and University of Genoa, Largo R. Benzi 1, 16132 Genoa, Italy,
2 Department of General Surgery and Transplant, San Martino Hospital and University of Genoa, Largo R. Benzi 1, 16132 Genoa, Italy and
3 Di.C.M.I., Unit of Anatomy and Histopathology, San Martino Hospital and University of Genoa, Via De Toni 14, 16132 Genoa, Italy

* To whom correspondence should be addressed.
V. Remorgida, E-mail: vremorgida{at}yahoo.it


  Abstract

BACKGROUND: This study aims to evaluate the completeness of full thickness disc resection in the treatment of deep endometriotic bowel lesions. METHODS: This study comprised 16 women with bowel endometriotic lesions requiring segmental resection. For the purpose of the study, before intestinal resection, nodulectomy was performed. The presence of endometriotic infiltration in direct continuity with the removed nodule and the presence of fibrosis in the area surrounding the nodule were histologically evaluated. RESULTS: In seven out of 16 cases (43.8%; 95% CI, 19.8-70.1), endometriosis was found in the bowel wall adjacent to the site of nodulectomy; the infiltration was visible in the muscular layer in all cases. In cases of incomplete nodulectomy, the muscular layer of the bowel segment surrounding the endometriotic nodule contained limited or no fibrosis. CONCLUSIONS: Full thickness disc resection is not complete in ≥40% of women with bowel endometriosis. Our finding that fibrosis in the muscular layer, the main landmark during surgical resection, does not always surround bowel endometriotic lesions might explain why incomplete resection may occur.

Keywords: bowel endometriosis; bowel resection; fibrosis; full thickness disc resection; laparoscopy.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Hum ReprodHome page
S. Ferrero, G. Camerini, N. Ragni, P.L. Venturini, E. Biscaldi, and V. Remorgida
Norethisterone acetate in the treatment of colorectal endometriosis: a pilot study
Hum. Reprod., October 10, 2009; (2009) dep361v1.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
M. Piketty, N. Chopin, B. Dousset, A.-E. Millischer-Bellaische, G. Roseau, M. Leconte, B. Borghese, and C. Chapron
Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination
Hum. Reprod., March 1, 2009; 24(3): 602 - 607.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
M. Valenzano Menada, V. Remorgida, L.H. Abbamonte, A. Nicoletti, N. Ragni, and S. Ferrero
Does transvaginal ultrasonography combined with water-contrast in the rectum aid in the diagnosis of rectovaginal endometriosis infiltrating the bowel?
Hum. Reprod., May 1, 2008; 23(5): 1069 - 1075.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
S. Angioni, M. Peiretti, M. Zirone, M. Palomba, V. Mais, V. Gomel, and G.B. Melis
Laparoscopic excision of posterior vaginal fornix in the treatment of patients with deep endometriosis without rectum involvement: surgical treatment and long-term follow-up
Hum. Reprod., June 1, 2006; 21(6): 1629 - 1634.
[Abstract] [Full Text] [PDF]

Home page
 Hum ReprodHome page
G. Dubernard, M. Piketty, R. Rouzier, S. Houry, M. Bazot, and E. Darai
Quality of life after laparoscopic colorectal resection for endometriosis
Hum. Reprod., May 1, 2006; 21(5): 1243 - 1247.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.