Medium to long‐term gastrointestinal outcomes following disc resection of the rectum for treatment of endometriosis using a validated scoring questionnaire. (14th June 2016)

• Record Type: Journal Article
• Authors: Ng, Ada; Yang, Phillip; Wong, Shing; Vancaillie, Thierry; Krishnan, Surya
• Is Part Of: Australian and New Zealand journal of obstetrics and gynaecology. Volume 56:Number 4(2016:Aug.)
• Page Start: 408
• Page End: 413
• Publication Date: 2016-06-14
• Subjects: disc resection -- endometriosis -- outcomes; Obstetrics -- Periodicals; Gynecology -- Periodicals; 618.05
• DOI: 10.1111/ajo.12476
• Languages: English
• ISSNs: 0004-8666

Abstract

Abstract : Objective: To assess the gastrointestinal functional outcomes and symptoms of low anterior resection syndrome after disc resection for deeply infiltrative endometriosis (DIE) using a validated scoring system. Design: Retrospective study to assess the gastrointestinal functional outcomes after rectal disc resection for DIE using a validated scoring system. Setting: University tertiary referral centre. Patients: Women who underwent disc resection for endometriosis at Royal Hospital for Women and Prince of Wales Private Hospital between January 2012 and December 2013 were included. Main outcome measure: Low anterior resection syndrome (LARS) score using a validated questionnaire. Results: Forty‐one women met the inclusion criteria. The mean age was 40 ± 10 years (range 22–75 years). All procedures were performed laparoscopically. Eleven women (27%) underwent a hysterectomy in addition to rectal disc resection and endometriosis surgery. Mean operative time for the entire cohort was 158 ± 64 minutes, and mean length of hospital stay was 5 ± 2 days. Completed questionnaires were received from 31 women, a response rate of 76%. The mean length of follow‐up was 17 ± 10 months (range 3–34 months). The LARS scores ranged from 0 to 34 (median 15, interquartile range 0–24). Eight women (26%) had a LARS score of 0. Nineteen women (61%) had a LARS score less than 21 (the threshold for LARS). Conclusion: Conservative treatment of DIE with rectal disc resection is safe and feasible and is associated with mild gastrointestinal dysfunction in the medium to long term.