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KMID : 1201620100030020063
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Journal of Women s Medicine
2010 Volume.3 No. 2 p.63 ~ p.67
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Laparoscopic bowel resection for bowel endometriosis: A preliminary report based on 5 cases
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Sung Su-Kyung
Bae Ji-Hae
Chong Gun-Oh
Hong Dae-Gy
Seong Won-Joon
Cho Young-Lae
Park Il-Soo
Choi Gyu-Seog
Lee Yoon-Soon
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Abstract
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Objective: Our aim was to present our experience on laparoscopic colorectal resection with tranvaginal or transanal extraction for severe endometriosis.
Methods: Between August 2005 and May 2009, laparoscopic colorectal resection was performed on 5 women with severe endometriosis. The intra? and post?operative complications were evaluated, and the pain outcome was measured using a visual analogue scale, which is a 10?point rating scale from 0 (absent) to 10 (unbearable).
Results: The mean age was 37 years (range, 22 to 47 years), and the mean operative time was 248.6 minutes (range, 120 to 312 minutes). The mean length of hospital stay was 9.6 days (range, 9 to 10 days). There were no intra? or post?operative complications requiring treatment. Post?operatively, the gynecologic symptoms, including dysmenorrhea (P=0.034) and dyschezia, (P=0.024) improved significantly.
Conclusion: Our preliminary experience demonstrates that laparoscopic colorectal resection with transvaginal or transanal extraction is a safe and feasible operative modality that yields excellent results in terms of the post?operative outcome.
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KEYWORD
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Severe endometriosis, Laparoscopic colorectal resection, Transvaginal extraction, Transanal extraction
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