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dc.contributor.authorAcién, Pedro-
dc.contributor.authorNúñez, Clara-
dc.contributor.authorQuereda Seguí, Francisco José-
dc.contributor.authorVelasco, Irene-
dc.contributor.authorValiente, Marta-
dc.contributor.authorVidal, Virginia-
dc.contributor.otherDepartamentos de la UMH::Salud Pública, Historia de la Ciencia y Ginecologíaes_ES
dc.date.accessioned2024-02-02T09:07:55Z-
dc.date.available2024-02-02T09:07:55Z-
dc.date.created2013-07-26-
dc.identifier.citationInternational Journal of Women's Health 2013 Jul 29:5:449-55es_ES
dc.identifier.issn1179-1411-
dc.identifier.urihttps://hdl.handle.net/11000/30947-
dc.description.abstractBackground: The purpose of this paper is to report the long-term results of surgery without bowel resection in patients suffering from deep infiltrating endometriosis with rectovaginal or colorectal involvement. Methods: This retrospective observational study identified 42 patients suffering with deep infiltrating endometriosis who underwent surgery. Conservative surgery was performed in 23 women (only one of them with bowel resection), and 19 women underwent a hysterectomy and bilateral salpingo-oophorectomy (HBSO). In the conservative surgery group, a later HBSO was performed in eight patients as a second operation. Pregnancies, recurrences, reoperations, use of hormone replacement therapy, and outcomes during long-term follow-up were analyzed. Results: The average follow-up duration was 7 ± 5.7 years in conservative surgery cases. Only one patient was treated with sigmoid bowel resection in 1997 and had complications. In this conservative surgery group, 13 patients (56%) received medical treatment after surgery, 10 patients wanted to get pregnant (of whom seven [70%] were successful), and eight patients underwent a subsequent HBSO because of recurrent symptoms and/or endometrioma. Therefore, HBSO was performed in 27 patients, of whom 14 (51.8%) used hormone replacement therapy for 5.6 ± 3.6 years. No recurrences or complications were observed in patients after HBSO with or without hormone replacement therapy. Conclusion: Good clinical results can be obtained by performing only conservative surgery and/or HBSO without bowel resection, an alternative that could reduce the number of colorectal resections that are performed very frequently nowadays. After HBSO, patients may use hormone replacement therapy for several years with total satisfaction and well-being.es_ES
dc.formatapplication/pdfes_ES
dc.format.extent7es_ES
dc.language.isoenges_ES
dc.publisherTaylor and Francis Group [Commercial Publisher] Dove Press [Imprint]es_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectbowel resectiones_ES
dc.subjectcolorectales_ES
dc.subjectdeep infiltrating endometriosises_ES
dc.subjectendometriosises_ES
dc.subjectrectovaginal septumes_ES
dc.titleIs a bowel resection necessary for deep endometriosis with rectovaginal or colorectal involvement?es_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionhttps://doi.org/10.2147/IJWH.S46519es_ES
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Artículos Salud Pública, Historia de la Ciencia y Ginecología


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