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Impact on the quality of life (in terms of functional recovery and gastrointestinal symptoms) of segmental resection surgery in patients with intestinal endometriosis undergoing either a totally intracorporeal or extracorporeal procedure
Surgery is the treatment of choice for deep endometriosis with bowel involvement and endometriosis nodules will be treated by segmental resection and subsequent anastomosis packing. Anastomosis packing with a totally intracorporeal approach may be a successful solution to reduce some of the complications after discoid or segmental resection with conventional laparotomic approach for extracorporeal anastomosis.
Setting up the colorectal anastomosis with a totally intracorporeal approach represents a surgical method that has been recently introduced but is already approved in terms of safety and reproducibility. However, experience with this technique is currently limited and there is no established consensus regarding patient suitability or data on longer-term outcomes. New studies are therefore needed to further validate the technique and to fully assess its long-term benefits resulting in increased quality of life for operated patients or to identify any associated complications.
The aim of the study is therefore to describe the impact on the quality of life (in terms of functional recovery and gastrointestinal symptoms) of segmental resection surgery in patients with intestinal endometriosis who underwent either a totally intracorporeal or extracorporeal procedure. In addition, the aim is to detect any differences in the duration of the operating time, compare the duration of the postoperative hospital stay and determine the success rate of the totally intracorporeal procedure
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| Measure | Description | Time Frame |
|---|---|---|
| Impact on the quality of life (in terms of functional recovery and gastrointestinal symptoms) of segmental resection surgery in patients with intestinal endometriosis undergoing either a totally intracorporeal or extracorporeal procedure | Evaluation by scoring the validated Low Anterior Resection Syndrome score questionnaire | During the preoperative evaluation and at 3 months after surgery as part of the postoperative follow-up visit |
| Measure | Description | Time Frame |
|---|---|---|
| Detect any differences in the duration of the total operating time in the two different treatments | Total operating time measured in minutes | During surgery |
| Duration of hospitalisation in the two different types of surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with deep endometriosis with suspected bowel involvement and intraoperative indication for segmental resection
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Diego Raimondo, MD | Contact | +393290636618 | die.raimondo@gmail.com | |
| Stefano Ferla, MD | Contact | stefano.ferla2@studio.unibo.it |
| Name | Affiliation | Role |
|---|---|---|
| Diego Raimondo, MD | IRCCS Azienda Ospedaliero-Universitaria di Bologna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IRCCS Azienda Ospedaliero-Universitaria di Bologna | Bologna | 40138 | Italy |
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| ID | Term |
|---|---|
| D004715 | Endometriosis |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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Measurement of hospitalisation time after surgery
| From date of surgery until the discharge (0-30 days) |
| Success rate of the totally intracorporeal procedure in patients with deep endometriosis with bowel involvement undergoing segmental resection surgery | Number of successfully completed operations out of the total number of operations performed with a fully intracorporeal approach. The success of the intervention is established intraoperatively by performing hydropneumatic tests of the integrity of the anastomosis and during the operative course by assessing the possible occurrence of complications | At 3 months after surgery |
| Incidence of intra-operative complications (rectorrhagia, anastomotic dehiscence, intussusception, stenosis of the anastomosis, intraperitoneal haemorrhage, conversion to laparotomic surgery) and evaluate any differences in these between the two groups | Number of operations in which one (or more) of the intra-operative complications occurred out of the total number of operations performed with a totally intracorporeal approach | At 3 months after surgery |
| Incidence of post-operative complications in the two different surgical treatments | Number of operations in which one (or more) of the post-operative complications described above occurred out of the total number of operations performed | Within 3 months of surgery |
| D000091662 | Genital Diseases |