Abstract
IntroductionEndometriosis is associated with a high number of chronic pelvic pain and reduced quality of life. Colorectal resections in case of bowel involvement of endometriosis are associated with an unneglectable morbidity in young and healthy patients. There is no linear correlation established between the degree of symptoms and stage of endometriosis. The aim of this study was to correlate the histological findings to preoperative pain scores in colorectal resected patients with endometriosis.MethodsTwenty-five patients who underwent laparoscopic colorectal resection for endometriosis between 2014 and 2019 were included in this retrospective study. Pain level was assessed preoperatively and postoperatively via phone call in May 2020. Histopathology was correlated to preoperative symptoms and postoperative outcome.ResultsAverage follow-up time was 38.68 months (± 19.92). Preoperative VAS-score was 8.32 (± 1.70). We observed a significant reduction of pain level in all patients after surgery (p ≤ 0.005). Pain levels were equal regarding the presence of satellite spots and various degrees of infiltration depth. The resection margins were clear in all patients. Postoperative complications occurred in 6 cases (24%) and anastomotic leakage was observed in 3 patients (12%). Average VAS-score at time of follow-up was 1.70 (± 2.54).ConclusionOur data demonstrate that adequate colorectal resection leads to reduction of pain and an increase of quality of life irrespective of histopathological findings. An experienced team is necessary to improve intraoperative outcome and to reduce postoperative morbidity in case of complication.
Highlights
Endometriosis is associated with a high number of chronic pelvic pain and reduced quality of life
Pain levels were equal regarding the presence of satellite spots and various degrees of infiltration depth
The aim of this study was to evaluate the histopathology of vertical bowel involvement and the outcome after colorectal resection of patients with deep infiltrating endometriosis
Summary
Endometriosis is associated with a high number of chronic pelvic pain and reduced quality of life. The aim of this study was to correlate the histological findings to preoperative pain scores in colorectal resected patients with endometriosis. Endometriosis is a chronic gynaecological disease, defined as the presence of endometrial glands and stroma outside the uterine cavity, predominantly in the pelvic compartment, rarely at the diaphragm, pleura, or pericardium [1,2,3]. It is an estrogen-dependent chronic inflammatory condition which is associated with pelvic. Endometrial fragments are driven through the fallopian tubes, possibly by uterine. Possible risk factors for this process are early age at menarche, long duration of menstrual flows, as well as molecular and cellular alterations [1, 9]
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