title: Clinical Outcome after Colonic Resection in Women with Endometriosis.
abstract: BACKGROUND
  In severe forms of endometriosis, the colon or rectum may be involved. This study evaluated the functional results and long-term outcome after laparoscopic colonic resection for endometriosis.
  
  
  METHODS
  Questionnaire survey with 24 women who had experienced typical symptoms, including pelvic pain, infertility, and endometriotic lesions in the bowel and undergone laparoscopic surgery, including low anterior resection, from 2009 to 2012, was conducted.
  
  
  RESULTS
  Information about the postoperative outcome was obtained from 22 women and was analyzed statistically. Twenty-one had undergone low anterior resection; one patient required a primary Hartmann procedure due to a rectovaginal fistula. The conversion rate was 4.5%. Major complications occurred in one patient, including an anastomotic leakage, and a Hartmann procedure was carried out subsequently in this patient. The symptoms of pain during defecation, pelvic pain, dyspareunia, dysmenorrhea, and hematochezia showed clear improvement one year after the operation and at the time of the questionnaire.
  
  
  CONCLUSIONS
  Laparoscopic low anterior resection for deeply infiltrative endometriosis is technically demanding but feasible and safe, and it improves the clinical symptoms of endometriosis in the bowel.
authors.affiliation: Second Surgical Department, Ludwig Boltzmann Institute for Surgical Laparoscopy, Academic Teaching Hospital, Linz General Hospital, 4021 Linz, Austria ; Faculty of Medicine, Johannes Kepler University, 4040 Linz, Austria.
authors.forename: Bettina
authors.initials: B
authors.lastname: Klugsberger
authors.affiliation: Second Surgical Department, Ludwig Boltzmann Institute for Surgical Laparoscopy, Academic Teaching Hospital, Linz General Hospital, 4021 Linz, Austria ; Faculty of Medicine, Johannes Kepler University, 4040 Linz, Austria.
authors.forename: Andreas
authors.initials: A
authors.lastname: Shamiyeh
authors.affiliation: Faculty of Medicine, Johannes Kepler University, 4040 Linz, Austria ; Department of Obstetrics and Gynecology, Women's General Hospital, 4020 Linz, Austria ; Department of Gynecology, Erlangen University Hospital, 91054 Erlangen, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Oppelt
authors.affiliation: Faculty of Medicine, Johannes Kepler University, 4040 Linz, Austria ; Department of Obstetrics and Gynecology, Women's General Hospital, 4020 Linz, Austria.
authors.forename: Christina
authors.initials: C
authors.lastname: Jabkowski
authors.affiliation: Department of Applied Systems Research and Statistics, Johannes Kepler University, 4040 Linz, Austria.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schimetta
authors.affiliation: Faculty of Medicine, Johannes Kepler University, 4040 Linz, Austria ; Department of Obstetrics and Gynecology, Women's General Hospital, 4020 Linz, Austria ; Department of Gynecology, Erlangen University Hospital, 91054 Erlangen, Germany.
authors.forename: Dietmar
authors.initials: D
authors.lastname: Haas
mesh_terms: D000328:Adult; D003106:Colon / Q000473:pathology / Q000601:surgery*; D003710:Demography; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D011182:Postoperative Care; D011795:Surveys and Questionnaires; D016896:Treatment Outcome