Surgery for deep infiltrating rectal endometriosis-Selecting the right approach

Tamyenthini Jeyabalan and Theiyallen Ambikapathi and Sentilnathan Subramaniam and Ratha Krishnan Sriram and Nornazirah Azizan and Firdaus Hayati (2022) Surgery for deep infiltrating rectal endometriosis-Selecting the right approach. Journal of Obstetrics and Gynaecology Research. ISSN 1341-8076

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Abstract

Endometriosis involving the bowel is a form of deep infiltrating endometriosis (DIE). The endometriotic lesions can infiltrate the bowel layers mimicking a malignancy. The majority of bowel involvement happens in the colon and rectum. We report our experience in surgically managing rectal endometriosis in two patients, one via a conservative approach and the other with a more radical approach and their associated short-term and long-term outcomes are observed. In principle, surgery remains the mainstay of treatment in managing rectal DIE with adjuvant hormonal therapy. The selection of surgical approach should be based on disease factors such as the size of the lesions and extent of the disease, patient factors including fitness for surgery and expectations as well as logistics and resource limitations.

Item Type:	Article
Keyword:	Deep infiltrating endometriosis , Disc excision , Rectal endometriosis , Rectal resection , Transluminal shaving
Subjects:	R Medicine > RD Surgery > RD1-811 Surgery
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	09 Aug 2022 11:04
Last Modified:	09 Aug 2022 11:04
URI:	https://eprints.ums.edu.my/id/eprint/33674

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