title: Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis: a single-center experience after 900 cases.
abstract: BACKGROUND
  Laparoscopic bowel resections for endometriosis are safe and effective but only short-term follow-up has been evaluated. In the present study long-term outcome in terms of intestinal and urinary function, fertility, chronic pain, and recurrence was assessed.
  
  
  METHODS
  From January 2002 to December 2010 nine hundred patients underwent laparoscopic bowel resection for endometriosis, and on 774 (86%) a questionnaire was administered. Patients were divided into 3 groups on the strength of the operation date. Postoperative diarrhea, constipation, rectal bleeding, tenesmus, dyschezia, dysuria, dyspareunia, fertility, and recurrence of disease were assessed.
  
  
  RESULTS
  The median follow-up was 54 months (range 1-120). All the evaluated symptoms significantly improved over time, with P = 0.0001 for dyspareunia, constipation, and pelvic pain and P = 0.004 for diarrhea. Nonsignificant improvement was reported for dysuria and rectal bleeding (with P = 0.452 and P = 0.097, resp.).
  
  
  CONCLUSIONS
  The present results confirm that bowel resections for endometriosis are correlated with an acceptable complication rate even at long-term follow-up and that symptoms significantly improve over time, except for rectal bleeding and dysuria, the latter associated with a neurological damage.
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Ruffo
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Scopelliti
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Manzoni
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Sartori
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Rossini
authors.affiliation: Department of Obstetrics and Gynecology, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Marcello
authors.initials: M
authors.lastname: Ceccaroni
authors.affiliation: Department of Obstetrics and Gynecology, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Minelli
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Crippa
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Partelli
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Falconi
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors