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Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis

INTRODUCTION: Large resections may be necessary in cytoreductive surgery for endometriosis, which present risk of urinary and bowel complications. Presentation of Case. A 29-year-old woman underwent multidisciplinary laparoscopy for endometriosis in a private practice setting for acyclic pelvic pain...

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Autores principales: Crispi, Claudio Peixoto, Brandão Salomão, Alice Cristina Coelho, Joaquim, Claudia Maria Vale, de Oliveira, Bruna Rafaela Santos, Fonseca, Marlon de Freitas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7475743/
https://www.ncbi.nlm.nih.gov/pubmed/32908745
http://dx.doi.org/10.1155/2020/8830867
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author Crispi, Claudio Peixoto
Crispi, Claudio Peixoto
Brandão Salomão, Alice Cristina Coelho
Joaquim, Claudia Maria Vale
de Oliveira, Bruna Rafaela Santos
Fonseca, Marlon de Freitas
author_facet Crispi, Claudio Peixoto
Crispi, Claudio Peixoto
Brandão Salomão, Alice Cristina Coelho
Joaquim, Claudia Maria Vale
de Oliveira, Bruna Rafaela Santos
Fonseca, Marlon de Freitas
author_sort Crispi, Claudio Peixoto
collection PubMed
description INTRODUCTION: Large resections may be necessary in cytoreductive surgery for endometriosis, which present risk of urinary and bowel complications. Presentation of Case. A 29-year-old woman underwent multidisciplinary laparoscopy for endometriosis in a private practice setting for acyclic pelvic pain and cyclic abdominal distension with changes in bowel habits and frequent sensation of incomplete defecation. After surgery, urodynamics remained normal and bowel function improved subjectively and objectively per dynamic magnetic resonance defecography (DMRD). The five-month follow-up found improvements in pain scores, bowel function, and health-related quality of life (assessed by the full versions of the Short Form 36 and Endometriosis Health Profile 30 scales). Discussion. Animus may contribute to the bowel symptoms in women with endometriosis. DMRD provides additional objective parameters for comparing pre- and postoperative functions. CONCLUSION: A nerve-sparing segmental rectosigmoidectomy for endometriosis carefully executed by a multidisciplinary team can preserve the function of different pelvic organs.
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spelling pubmed-74757432020-09-08 Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis Crispi, Claudio Peixoto Crispi, Claudio Peixoto Brandão Salomão, Alice Cristina Coelho Joaquim, Claudia Maria Vale de Oliveira, Bruna Rafaela Santos Fonseca, Marlon de Freitas Case Rep Obstet Gynecol Case Report INTRODUCTION: Large resections may be necessary in cytoreductive surgery for endometriosis, which present risk of urinary and bowel complications. Presentation of Case. A 29-year-old woman underwent multidisciplinary laparoscopy for endometriosis in a private practice setting for acyclic pelvic pain and cyclic abdominal distension with changes in bowel habits and frequent sensation of incomplete defecation. After surgery, urodynamics remained normal and bowel function improved subjectively and objectively per dynamic magnetic resonance defecography (DMRD). The five-month follow-up found improvements in pain scores, bowel function, and health-related quality of life (assessed by the full versions of the Short Form 36 and Endometriosis Health Profile 30 scales). Discussion. Animus may contribute to the bowel symptoms in women with endometriosis. DMRD provides additional objective parameters for comparing pre- and postoperative functions. CONCLUSION: A nerve-sparing segmental rectosigmoidectomy for endometriosis carefully executed by a multidisciplinary team can preserve the function of different pelvic organs. Hindawi 2020-08-28 /pmc/articles/PMC7475743/ /pubmed/32908745 http://dx.doi.org/10.1155/2020/8830867 Text en Copyright © 2020 Claudio Peixoto Crispi Jr. et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Crispi, Claudio Peixoto
Crispi, Claudio Peixoto
Brandão Salomão, Alice Cristina Coelho
Joaquim, Claudia Maria Vale
de Oliveira, Bruna Rafaela Santos
Fonseca, Marlon de Freitas
Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis
title Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis
title_full Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis
title_fullStr Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis
title_full_unstemmed Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis
title_short Five-Month Follow-Up Assessing Defecography and Urodynamics after Laparoscopic Nerve-Sparing Colorectal Resection for Endometriosis
title_sort five-month follow-up assessing defecography and urodynamics after laparoscopic nerve-sparing colorectal resection for endometriosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7475743/
https://www.ncbi.nlm.nih.gov/pubmed/32908745
http://dx.doi.org/10.1155/2020/8830867
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