...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of endometriosis and pelvic pain disorders. >Laparoscopic surgery for colorectal endometriosis and its impact upon fertility: an updated Australian series of 307 cases
【24h】

Laparoscopic surgery for colorectal endometriosis and its impact upon fertility: an updated Australian series of 307 cases

机译：结直肠子宫内膜异位症腹腔镜手术及其影响生育能力:一个更新澳大利亚的307箱

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction: Colorectal involvement occurs in up to 12% of cases of endometriosis. Various surgical options for its management have been described, including segmental resection and disc excision, with debate surrounding indications for surgery and the impact of such procedures. The current study aimed to describe the experiences of three Australian gynaecologists regarding laparoscopic bowel surgery for colorectal endometriosis. Methods: The records of three gynaecological surgeons were analysed for patients who underwent surgical removal of colorectal endometriosis by way of appendicectomy, bowel disc excision and/or segmental resection, between 1999 and 2012.Results: A total of 307 patients were identified. Sixteen (5.2%) underwent appendicectomy, 146 (47.6%) underwent disc excision, 126 (41.0%) underwent segmental resection and 19 (6.2%) underwent simultaneous procedures. The majority of procedures were performed laparoscopically (265 of 307; 86.3%). Nineteen procedures (6.2%) were planned laparotomies due to the known extent of disease. Twenty-three procedures were converted from laparoscopy to laparotomy (conversion rate of 7.5%).Complications occurred in 35 of the 307 cases (11.4%). Sixty-seven women amongst the 122 wishing to conceive post-operatively achieved at least one pregnancy (pregnancy rate of 54.9%). Of the 84 pregnancies achieved amongst the 67 women who conceived, 49 (58.3%) were achieved through assisted reproductive technologies, and 31 pregnancies (36.9%) were conceived spontaneously. This information was unavailable for 4 pregnancies (4.8%). Conclusions: The current series demonstrates that laparoscopic surgery for severe disease is feasible in specialised centres. Furthermore, such surgery may have a positive impact upon post-operative fertility.
机译：作品简介:结直肠参与发生在子宫内膜异位的12%的病例。手术方案的管理描述,包括节段切除和阀瓣切除,辩论周围的适应症手术,这种手术的影响。本研究旨在描述经验三个澳大利亚的妇科医生有关腹腔镜肠结直肠手术子宫内膜异位症。妇科医生进行分析病人手术切除结直肠子宫内膜异位的方式阑尾切除术、肠椎间盘切除和/或节段切除和1999之间2012.识别。阑尾切除术,146例(47.6%)接受了光盘切除,126例(41.0%)接受了节段切除和19例(6.2%)进行了同步程序。进行腹腔镜手术(265 307;19(6.2%)计划程序手术由于疾病的认识程度。23程序转换腹腔镜剖腹手术(转化率7.5%)。例(11.4%)。希望手术后怀孕在实现至少有一个怀孕(怀孕率为54.9%)。84年怀孕的67名女性中实现构思,49(58.3%)通过吗辅助生殖技术,31日怀孕(36.9%)自发的构想。这个信息是不可用4怀孕(4.8%)。系列表明,腹腔镜手术在专门的严重疾病是可行的中心。在术后生育能力产生积极的影响。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号