title: Totally laparoscopic intracorporeal anastomosis with natural orifice specimen extraction (NOSE) techniques, particularly suitable for bowel endometriosis.
abstract: The objective of this retrospective study was to evaluate the feasibility of natural orifice specimen extraction (NOSE) techniques in 41 patients undergoing bowel resection for treatment of deep infiltrating endometriosis. In all patients laparoscopic treatment of rectovaginal endometriosis with bowel resection had been performed. In 32 patients the classic approach was adopted (group 1), and in 9 a NOSE technique was performed (group 2). Demographic, operative, and postoperative data were compared. Statistical analyses were performed using SPSS software, version 16.0. When needed, qualitative variables were compared using the χ(2) test or the Fisher exact test. Quantitative variables using the t-test were used. The threshold of statistical significance was set at p = .05. No statistically significant difference was observed between the 2 groups. Eight complications (19.5%) were observed, 2 minor (4.8%) and 6 major (14.6%). Of major complications, 2 were observed in the NOSE group (n = 2; 22.2%). It was concluded that the NOSE technique is a feasible approach in patients undergoing bowel resection for treatment of deep infiltrating endometriosis.
authors.affiliation: Department of Obstetrics and Gynecology, Strasbourg University Hospital, Strasbourg, France. Electronic address: cherif.youssef2@wanadoo.fr.
authors.forename: Cherif
authors.initials: C
authors.lastname: Akladios
authors.affiliation: Department of Obstetrics and Gynecology, Strasbourg University Hospital, Strasbourg, France.
authors.forename: Emilie
authors.initials: E
authors.lastname: Faller
authors.affiliation: Institut de Recherche Contre le Cancer de l'Appareil Digestif, Strasbourg, France.
authors.forename: Karolina
authors.initials: K
authors.lastname: Afors
authors.affiliation: Institut de Recherche Contre le Cancer de l'Appareil Digestif, Strasbourg, France.
authors.forename: Marco
authors.initials: M
authors.lastname: Puga
authors.affiliation: Institut de Recherche Contre le Cancer de l'Appareil Digestif, Strasbourg, France.
authors.forename: Jaime
authors.initials: J
authors.lastname: Albornoz
authors.affiliation: Institut de Recherche Contre le Cancer de l'Appareil Digestif, Strasbourg, France.
authors.forename: Christina
authors.initials: C
authors.lastname: Redondo
authors.affiliation: Institut de Recherche Contre le Cancer de l'Appareil Digestif, Strasbourg, France.
authors.forename: Joel
authors.initials: J
authors.lastname: Leroy
authors.affiliation: Department of Obstetrics and Gynecology, Strasbourg University Hospital, Strasbourg, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Wattiez
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications; D012007:Rectum / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D014623:Vaginal Diseases / Q000473:pathology / Q000601:surgery*; D055815:Young Adult
keywords: Bowel resection; Deep endometriosis; Natural orifice specimen extraction; Transanal specimen extraction; Transvaginal specimen extraction