title: Surgical and clinical impact of extraserosal pelvic fascia removal in segmental colorectal resection for endometriosis.
abstract: OBJECTIVE
  To describe the characteristics of patients with colorectal endometriosis and extraserosal pelvic fascia (EPF) involvement and to assess the effect of EPF resection.
  
  
  METHODS
  Prospective cohort study (Canadian Task Force classification II-2).
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Two hundred twenty-seven patients who underwent segmental colorectal resection to treat symptomatic deep infiltrating endometriosis between 2001 and 2011, with or without EPF resection.
  
  
  METHODS
  Segmental colorectal resection with or without EPF resection.
  
  
  RESULTS
  One hundred twelve patients (49.4%) required EPF resection. In these patients the total American Society for Reproductive Medicine endometriosis scores were higher (p = .004), there were more associated resected lesions of deep infiltrating endometriosis (p <.001), and the operative time was longer (p <.001). They were more likely to require blood transfusion (p = .003) and to experience intraoperative complications (p = .01) and postoperative voiding dysfunction (p = .04).
  
  
  CONCLUSIONS
  EPF infiltration reflects disease severity in patients with colorectal endometriosis. Its removal affects intraoperative morbidity and leads to a higher rate of voiding dysfunction.
authors.affiliation: Department of Obstetrics and Gynecology, Tenon Hospital, AP-HP, GRC6-UPMC, Paris, France; Centre Expert en Endométriose (C3E), Paris, France; UMR_S938 Université Pierre et Marie Curie Paris 6, Paris, France. Electronic address: marcos.ballester@tnn.aphp.fr.
authors.forename: Marcos
authors.initials: M
authors.lastname: Ballester
authors.affiliation: Department of Obstetrics and Gynecology, Tenon Hospital, AP-HP, GRC6-UPMC, Paris, France; Centre Expert en Endométriose (C3E), Paris, France.
authors.forename: Jérémie
authors.initials: J
authors.lastname: Belghiti
authors.affiliation: Department of Obstetrics and Gynecology, Tenon Hospital, AP-HP, GRC6-UPMC, Paris, France; Centre Expert en Endométriose (C3E), Paris, France.
authors.forename: Sonia
authors.initials: S
authors.lastname: Zilberman
authors.affiliation: Department of Obstetrics and Gynecology, Tenon Hospital, AP-HP, GRC6-UPMC, Paris, France; Centre Expert en Endométriose (C3E), Paris, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Thomin
authors.affiliation: Department of Obstetrics and Gynecology, Tenon Hospital, AP-HP, GRC6-UPMC, Paris, France.
authors.forename: Claire
authors.initials: C
authors.lastname: Bonneau
authors.affiliation: Department of Radiology, Tenon Hospital, AP-HP, GRC6-UPMC, Paris, France; Centre Expert en Endométriose (C3E), Paris, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Bazot
authors.affiliation: Department of Radiology, Tenon Hospital, AP-HP, GRC6-UPMC, Paris, France; Centre Expert en Endométriose (C3E), Paris, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Thomassin-Naggara
authors.affiliation: Department of Obstetrics and Gynecology, Tenon Hospital, AP-HP, GRC6-UPMC, Paris, France; Centre Expert en Endométriose (C3E), Paris, France; UMR_S938 Université Pierre et Marie Curie Paris 6, Paris, France.
authors.forename: Emile
authors.initials: E
authors.lastname: Daraï
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003106:Colon / Q000601:surgery*; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D061646:Operative Time; D010388:Pelvis / Q000601:surgery*; D011379:Prognosis; D012007:Rectum / Q000601:surgery*; D055815:Young Adult
keywords: Colorectal endometriosis; Extraserosal pelvic fascia; Morbidity; Segmental colorectal resection; Surgery