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Bowel surgery for endometriosis: A practical look at short- and long-term complications

机译:用于子宫内膜异位症的肠外手术:实际看看短期和长期并发症

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摘要

Endometriosis involving the bowel requires a thorough evaluation prior to deciding upon surgical treatment. Patient symptoms, treatment goals, extent and location of disease, surgeon experi-ence, and anticipated risks all play a part in the preoperative decision-making process. Short-and long-term complications after bowel surgery for endometriosis are the focus of this article. Un-fortunately, the literature to date has inherent limitations that prevent generalizability. Most studies are retrospective or pro-spective single-center case series. Publication bias is unavoidable with mainly large volume experts sharing their experience. As a result, there is a need for high-quality prospective studies that standardize inclusion criteria and outcome measures among various centers with an aim to present long-term outcomes. In the meantime, care for those with endometriosis involving the bowel requires a thorough preoperative plan to minimize risks and a need for early diagnosis and management of complications unique to bowel surgery.
机译:涉及肠道的子宫内膜异位症需要在决定手术治疗之前进行彻底评估。患者症状、治疗目标、疾病范围和部位、外科医生经验和预期风险都在术前决策过程中发挥作用。子宫内膜异位症肠道手术后的短期和长期并发症是本文的重点。幸运的是,迄今为止的文献存在固有的局限性,无法推广。大多数研究都是回顾性或前瞻性的单中心病例系列。出版偏见是不可避免的,主要是大量专家分享他们的经验。因此,有必要进行高质量的前瞻性研究,使各个中心的纳入标准和结果衡量标准标准标准化,以呈现长期结果。同时,对涉及肠道的子宫内膜异位症患者的护理需要全面的术前计划,以最大限度地降低风险,并需要对肠道手术特有的并发症进行早期诊断和处理。

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