Management of deeply infiltrating endometriosis involving the rectum.

Background: Rectal endometriosis can cause debilitating symptoms. Rectal resection in this setting has been shown to improve symptoms; however, there remain some reservations about this intervention because of the risk of complications such as anastomotic leak and rectovaginal fistula.

Objective: The aim of this study is to review our experience with rectal resection in patients with rectal endometriosis.

Bowel resection for severe endometriosis: an Australian series of 177 cases.

Background: Colorectal resection for severe endometriosis has been increasingly described in the literature over the last 20 years.

Aims: To describe the experiences of three gynaecological surgeons who perform radical surgery for colorectal endometriosis.

Methods: The records of three surgeons were reviewed.

Relevance of gastrointestinal symptoms in endometriosis.

Background: Endometriosis commonly presents with a range of symptoms none of which are particularly specific for the condition, often resulting in misdiagnosis or delay in diagnosis.

Aim: To investigate gastrointestinal symptoms in women with endometriosis and compare their frequency with that of the classical gynaecological symptoms.

Methods: Systematic exploration of symptoms in a consecutive series of 355 women undergoing operative laparoscopy for suspected endometriosis.

Fertility and pain outcomes following laparoscopic segmental bowel resection for colorectal endometriosis: a review.

Intestinal involvement in endometriosis is thought to occur in up to 12% of all endometriosis cases. While colorectal resection is being increasingly advocated as a feasible management option in patients with severe disease, there still remains significant resistance towards this surgery. This article aims to review the current literature to determine the pain and fertility outcomes following segmental bowel resection for colorectal endometriosis.

A prospective multi-centre study of major complications experienced during excisional laparoscopic surgery for endometriosis.

Objective: To clarify the rate of major intra-operative and post-operative complications experienced during excisional surgery for endometriosis.

Design: Prospective multi-centre observational study set in two University teaching hospitals and three private hospitals in Sydney, Australia. All consecutive subjects undergoing laparoscopic excisional surgery for minimal to severe endometriosis were recruited (790 subjects).