Bowel complications in endometriosis surgery

Endometriosis surgery by laparoscopy or laparotomy can be associated with various types of intestinal complications that may occur in the immediate postoperative period or later. They include bowel anastomotic dehiscence, rectovaginal fistula, anastomotic bleeding, intra-abdominal infections, wound...

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Bibliographic Details
Published in:Best practice & research. Clinical obstetrics & gynaecology 2016-08, Vol.35, p.51-62
Main Authors: Oliveira, Marco Aurelio Pinho, M.D., Ph.D, Pereira, Thiago Rodrigues Dantas, M.D, Gilbert, Audrey, M.D, Tulandi, Togas, M.D., MHCM, de Oliveira, Hildoberto Carneiro, M.D., Ph.D, De Wilde, Rudy Leon, M.D
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - methods
bowel endometriosis
bowel surgery
complications
deep infiltrating endometriosis
endometriosis
Endometriosis - surgery
Female
Humans
Intestinal Diseases - prevention & control
Intestinal Diseases - surgery
Intestines - injuries
Intestines - surgery
Intraoperative Complications - etiology
Intraoperative Complications - prevention & control
laparoscopic surgery
Laparoscopy - adverse effects
Laparoscopy - methods
Obstetrics and Gynecology
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Preoperative Care
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Summary:Endometriosis surgery by laparoscopy or laparotomy can be associated with various types of intestinal complications that may occur in the immediate postoperative period or later. They include bowel anastomotic dehiscence, rectovaginal fistula, anastomotic bleeding, intra-abdominal infections, wound infections, bowel stricture, intestinal obstruction, chronic constipation, and diarrhea. There is growing evidence that bowel injuries can be repaired by primary closure in two layers even without previous bowel preparation. Surgical treatments of deep bowel endometriosis include conservative surgery (including shaving technique or discoid resection) or a more radical approach such as bowel resection that is associated with increased complications. Good perfusion and no tension at the anastomosis site are essential when segmental resection is performed. Early recognition of bowel complications during surgery or in the immediate postoperative period is fundamental to decreased morbidity and mortality. This chapter will deal with the prevention of bowel complication in minimally invasive surgery for endometriosis.
ISSN:1521-6934
1532-1932
DOI:10.1016/j.bpobgyn.2015.11.002