Significantly increased pregnancy rates after laparoscopic restorative proctocolectomy: a cross-sectional study.

Abstract:

OBJECTIVE:To assess the impact of a laparoscopic approach on female fecundity in ileoanal pouch surgery. BACKGROUND:Restorative proctocolectomy with ileal pouch anal anastomosis (IPAA) is associated with tubal factor infertility in female patients. Different studies showed less adhesion formation after laparoscopic colectomy. The relation between laparoscopic pouch surgery and fertility, however, has not been studied so far. METHODS:This cross-sectional study was carried out in 3 university hospitals in the Netherlands and in Belgium. Female patients older than 18 years that had IPAA under the age of 41 were eligible for inclusion (n = 179). We sent them a questionnaire addressing medical and fertility history. The primary endpoint was time to first spontaneous pregnancy after IPAA. This study has been registered with ISRCTN.org (ISRCTN85421386). RESULTS:Of 179 eligible patients, 160 (89%) returned the questionnaire. After IPAA, 50 (31%) patients attempted to conceive. Of these, 23 (46%) had undergone open and 27 (54%) had undergone laparoscopic IPAA. Patient characteristics were similar in both groups. Indications for surgery were ulcerative colitis (UC) in 37 patients, familial adenomatous polyposis (FAP) in 12 patients, and colonic ischemia in 1 patient. A Kaplan-Meier survival function was plotted for time to first spontaneous pregnancy and showed a higher pregnancy rate after laparoscopic IPAA (log-rank, P = 0.023). Similarly, subsequent survival analysis for all patients with UC showed an increased pregnancy rate for the laparoscopic group (log-rank, P = 0.033). CONCLUSIONS:Pregnancy rates are significantly higher after laparoscopic IPAA. This makes the laparoscopic approach the method of choice in young women.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Bartels SA,DʼHoore A,Cuesta MA,Bensdorp AJ,Lucas C,Bemelman WA

doi

10.1097/SLA.0b013e318250caa9

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1045-8

issue

6

eissn

0003-4932

issn

1528-1140

journal_volume

256

pub_type

临床试验,杂志文章
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    abstract:OBJECTIVE:To study the incidence of gastroesophageal reflux (GER)related complications after correction of esophageal atresia (EA). SUMMARY BACKGROUND DATA:The association of EA and GER in children is well known. However, little is known about the prevalence of GER and its potential complications in adults who have un...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/01.sla.0000094303.07910.05

    authors: Deurloo JA,Ekkelkamp S,Bartelsman JF,Ten Kate FJ,Schoorl M,Heij HA,Aronson DC

    更新日期:2003-11-01 00:00:00

  • Lack of preoperative enteral nutrition reduces gut-associated lymphoid cell numbers in colon cancer patients: a possible mechanism underlying increased postoperative infectious complications during parenteral nutrition.

    abstract:OBJECTIVE:To examine preoperative dietary influences on gut-associated lymphoid tissue (GALT) cell number in the context of postoperative infectious complications. BACKGROUND:There is little clinical evidence regarding whether nutritional routes affect GALT size and/or phenotype. The influence of GALT atrophy on clini...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e31827a0e05

    authors: Okamoto K,Fukatsu K,Hashiguchi Y,Ueno H,Shinto E,Moriya T,Saitoh D,Yamamoto J,Hase K

    更新日期:2013-12-01 00:00:00

  • Institutional and individual learning curves for focused abdominal ultrasound for trauma: cumulative sum analysis.

    abstract:OBJECTIVE:To evaluate both institutional and individual learning curves with focused abdominal ultrasound for trauma (FAST) by analyzing the incidence of diagnostic inaccuracies as a function of examiner experience for a group of trauma surgeons performing the study in the setting of an urban level I trauma center. SU...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200005000-00009

    authors: McCarter FD,Luchette FA,Molloy M,Hurst JM,Davis K Jr,Johannigman JA,Frame SB,Fischer JE

    更新日期:2000-05-01 00:00:00

  • Effect of intravascular volume expansion on renal function during prolonged CO2 pneumoperitoneum.

    abstract:OBJECTIVE:To evaluate whether intravascular volume expansion would improve renal blood flow and function during prolonged CO2 pneumoperitoneum. SUMMARY BACKGROUND DATA:Although laparoscopic living donor nephrectomies have a considerably reduced risk of complications for the donors, significant concerns exist regarding...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200002000-00007

    authors: London ET,Ho HS,Neuhaus AM,Wolfe BM,Rudich SM,Perez RV

    更新日期:2000-02-01 00:00:00

  • Transplantation of pediatric donor kidneys to adult recipients. Is there a critical donor age?

    abstract::Cadaver kidneys remain a scarce resource, yet single pediatric donor kidneys are underutilized at some centers. Between 1967 and 1984, 133 single pediatric and 318 adult donor cadaver transplants were performed. Patient and graft survival, renal function, and complications in adult recipients grouped by donor age were...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198608000-00011

    authors: Wengerter K,Matas AJ,Tellis VA,Quinn T,Soberman R,Veith FJ

    更新日期:1986-08-01 00:00:00

  • A systematic review of economic evaluations of enhanced recovery pathways for colorectal surgery.

    abstract:OBJECTIVE:To perform a systematic review of economic evaluations of enhanced recovery pathways (ERP) for colorectal surgery. BACKGROUND:Although there is extensive literature investigating the clinical effectiveness of ERP, little is known regarding its cost-effectiveness. METHODS:A systematic literature search ident...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SLA.0b013e318295fef8

    authors: Lee L,Li C,Landry T,Latimer E,Carli F,Fried GM,Feldman LS

    更新日期:2014-04-01 00:00:00

  • Incidence and consequence of an hepatic artery injury in patients with postcholecystectomy bile duct strictures.

    abstract:OBJECTIVE:To compare the clinical presentation and results of treatment of postcholecystectomy bile duct injuries in patients with and without arterial injuries. SUMMARY BACKGROUND DATA:Incidence and impact of arterial injuries in patients with a postcholecystectomy biliary injury are unknown, although they are claime...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/01.sla.0000074983.39297.c5

    authors: Alves A,Farges O,Nicolet J,Watrin T,Sauvanet A,Belghiti J

    更新日期:2003-07-01 00:00:00

  • HuR status is a powerful marker for prognosis and response to gemcitabine-based chemotherapy for resected pancreatic ductal adenocarcinoma patients.

    abstract:BACKGROUND:Pancreatic ductal adenocarcinoma (PDA) is a devastating disease that killed nearly 38,000 people in the United States this past year. OBJECTIVE:Treatment of PDA typically includes surgery and/or chemotherapy with gemcitabine. No reliable biomarker exists for prognosis or response to chemotherapy. Two previo...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181f1fd44

    authors: Richards NG,Rittenhouse DW,Freydin B,Cozzitorto JA,Grenda D,Rui H,Gonye G,Kennedy EP,Yeo CJ,Brody JR,Witkiewicz AK

    更新日期:2010-09-01 00:00:00

  • Multiple systems organ failure. Modulation of hepatocyte protein synthesis by endotoxin activated Kupffer cells.

    abstract::The etiology of hepatic insufficiency associated with the multiple systems organ failure (MSOF) syndrome is unclear. The authors have investigated the possibility that a macrophage/Kupffer cell mediated modulation of hepatocyte function may play a role in this phenomenon. Isolated rat hepatocytes were cultured, and th...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:

    authors: Keller GA,West MA,Cerra FB,Simmons RL

    更新日期:1985-01-01 00:00:00

  • Experience with mycophenolate mofetil (RS61443) in renal transplantation at a single center.

    abstract:OBJECTIVE:Mycophenolate mofetil (MM) is a new immunosuppressive agent that reversibly inhibits guanine nucleotide synthesis and DNA replication. Its activity is highly selective for T and B lymphocytes. Two open-label multicenter trials of MM in renal transplantation have been performed. This report summarizes the resu...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00000658-199305010-00007

    authors: Deierhoi MH,Kauffman RS,Hudson SL,Barber WH,Curtis JJ,Julian BA,Gaston RS,Laskow DA,Diethelm AG

    更新日期:1993-05-01 00:00:00

  • Acute hand burns in children: management and long-term outcome based on a 10-year experience with 698 injured hands.

    abstract:OBJECTIVE:To document long-term results associated with an coordinated plan of care for acutely burned hands in children. SUMMARY AND BACKGROUND DATA:Optimal hand function is a crucial component of a high-quality survival after burn injury. This can be achieved only with a coordinated approach to the injuries. Long-te...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199904000-00016

    authors: Sheridan RL,Baryza MJ,Pessina MA,O'Neill KM,Cipullo HM,Donelan MB,Ryan CM,Schulz JT,Schnitzer JJ,Tompkins RG

    更新日期:1999-04-01 00:00:00

  • Arginine transport in human liver. Characterization and effects of nitric oxide synthase inhibitors.

    abstract:OBJECTIVE:Arginine transport was characterized and studied in human liver. SUMMARY BACKGROUND DATA:Plasma arginine uptake may regulate hepatocyte intracellular availability and the subsequent biosynthesis of nitric oxide (NO), but little is known about arginine transport across the human hepatocyte plasma membrane. M...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199309000-00014

    authors: Inoue Y,Bode BP,Beck DJ,Li AP,Bland KI,Souba WW

    更新日期:1993-09-01 00:00:00

  • Carotid artery disease following external cervical irradiation.

    abstract::A retrospective study of 910 patients surviving at least five years after cervical irradiation for Hodgkin's disease, non-Hodgkin's lymphoma, or primary head an neck neoplasms showed the incidence of stroke following cervical irradiation was 63 of 910 patients (6.3%) during a mean period of observation of nine years. ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198111000-00009

    authors: Elerding SC,Fernandez RN,Grotta JC,Lindberg RD,Causay LC,McMurtrey MJ

    更新日期:1981-11-01 00:00:00

  • Prospective Creation and Validation of the PREVENTT (Prediction and Enaction of Prevention Treatments Trigger) Scale for Surgical Site Infections (SSIs) in Patients With Diverticulitis.

    abstract:OBJECTIVE:Create and validate diverticulitis surgical site infection prediction scale. BACKGROUND:Surgical site infections cause significant morbidity after colorectal surgery. An infection prediction scale could target infection prevention bundles to high-risk patients. METHODS:Prospectively collected National Surgi...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002859

    authors: Bordeianou L,Cauley CE,Patel R,Bleday R,Mahmood S,Kennedy K,Ahmed KF,Yokoe D,Hooper D,Rubin M,Partners Colorectal Collaborative.

    更新日期:2019-12-01 00:00:00

  • Primary hyperparathyroidism in the 1990s. Choice of surgical procedures for this disease.

    abstract::Many advances have occurred in recent years in the diagnosis, localization, and treatment of primary hyperparathyroidism. Several different operative choices for primary hyperparathyroidism also have been proposed--a unilateral approach versus the standard bilateral parathyroid exploration. The unilateral approach is ...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000658-199204000-00002

    authors: Kaplan EL,Yashiro T,Salti G

    更新日期:1992-04-01 00:00:00

  • Accelerated partial breast irradiation after conservative surgery for breast cancer.

    abstract:OBJECTIVE:To critically review the theoretical and actual risks and benefits of accelerated partial breast irradiation (APBI) after breast-conserving surgery. SUMMARY BACKGROUND DATA:Because of rapid evolution of radiation therapy techniques related to brachytherapy and three-dimensional conformal radiation therapy, A...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.sla.0000114219.71899.13

    authors: Kuerer HM,Julian TB,Strom EA,Lyerly HK,Giuliano AE,Mamounas EP,Vicini FA

    更新日期:2004-03-01 00:00:00

  • A Clinical Nomogram for Predicting Node-positive Disease in Esophageal Cancer.

    abstract:OBJECTIVE:We developed and validated a nomogram predicting the likelihood of occult lymph node metastases in surgically resectable esophageal cancers. BACKGROUND:Patients with esophageal cancer with positive lymph nodes benefit from neoadjuvant therapy, but limitations in current clinical staging techniques mean nodal...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003450

    authors: Semenkovich TR,Yan Y,Subramanian M,Meyers BF,Kozower BD,Nava R,Patterson GA,Kreisel D,Puri V

    更新日期:2019-07-03 00:00:00

  • Lethal "thin" malignant melanoma. Identifying patients at risk.

    abstract::Thin melanomas can metastasize and be lethal. The purpose of this review was to identify negative risk factors in patients with melanomas less than 0.76 mm thick. Six hundred and eighty-one (681) such patients are reviewed in this study. Of those referred without metastatic disease (583 patients), metastases developed...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198808000-00004

    authors: Slingluff CL Jr,Vollmer RT,Reintgen DS,Seigler HF

    更新日期:1988-08-01 00:00:00

  • Prognostic significance of DNA replication errors in young patients with colorectal cancer.

    abstract:OBJECTIVE:To determine the DNA replication error (RER) status in young patients with colorectal cancer (CRC), and to compare the clinical and pathologic characteristics of RER-positive and RER-negative cases. SUMMARY BACKGROUND DATA:Recent studies suggest that patients with RER-positive CRC have an improved prognosis....

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199801000-00008

    authors: Lukish JR,Muro K,DeNobile J,Katz R,Williams J,Cruess DF,Drucker W,Kirsch I,Hamilton SR

    更新日期:1998-01-01 00:00:00

  • Thrombotic complications of heparin therapy: including six cases of heparin--induced skin necrosis.

    abstract::Thrombotic complications of heparin administration were observed in eight patients during a two year period. At sites of subcutaneous heparin injection, six patients developed areas of the skin and subcutaneous necrosis. Systemic thrombotic events and thrombocytopenia were observed in two of these patients when they r...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197911000-00007

    authors: White PW,Sadd JR,Nensel RE

    更新日期:1979-11-01 00:00:00

  • Common bile duct and Oddi sphincter pressure before and after endoscopic papillotomy in patients with common bile duct stones.

    abstract::Pressures in the Oddi sphincter and common bile duct were determined before, immediately after and several weeks after endoscopic papillotomy. Fifteen patients were included in the study. Significant decreases in Oddi sphincter and common bile duct pressures were found and the decrease in Oddi sphincter pressure was t...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197908000-00009

    authors: Funch-Jensen P,Csendes A,Kruse A,Oster MJ,Amdrup E

    更新日期:1979-08-01 00:00:00

  • The Global Incidence of Appendicitis: A Systematic Review of Population-based Studies.

    abstract:OBJECTIVE:We compared the incidence of appendicitis or appendectomy across the world and evaluated temporal trends. SUMMARY BACKGROUND DATA:Population-based studies reported the incidence of appendicitis. METHODS:We searched MEDLINE and EMBASE databases for population-based studies reporting the incidence of appendic...

    journal_title:Annals of surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/SLA.0000000000002188

    authors: Ferris M,Quan S,Kaplan BS,Molodecky N,Ball CG,Chernoff GW,Bhala N,Ghosh S,Dixon E,Ng S,Kaplan GG

    更新日期:2017-08-01 00:00:00

  • Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity.

    abstract:OBJECTIVE:To evaluate the short-term outcomes for laparoscopic Roux-en-Y gastric bypass in 275 patients with a follow-up of 1 to 31 months. SUMMARY BACKGROUND DATA:The Roux-en-Y gastric bypass is a highly successful approach to morbid obesity but results in significant perioperative complications. A laparoscopic appro...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200010000-00007

    authors: Schauer PR,Ikramuddin S,Gourash W,Ramanathan R,Luketich J

    更新日期:2000-10-01 00:00:00

  • Diagnostic Accuracy of Different Surgical Procedures for Axillary Staging After Neoadjuvant Systemic Therapy in Node-positive Breast Cancer: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVE:The aim of this study was to perform a systematic review and meta-analysis to assess the accuracy of different surgical axillary staging procedures compared with ALND. SUMMARY OF BACKGROUND DATA:Optimal axillary staging after neoadjuvant systemic therapy (NST) in node-positive breast cancer is an area of con...

    journal_title:Annals of surgery

    pub_type: 杂志文章,meta分析

    doi:10.1097/SLA.0000000000003075

    authors: Simons JM,van Nijnatten TJA,van der Pol CC,Luiten EJT,Koppert LB,Smidt ML

    更新日期:2019-03-01 00:00:00

  • Influence of the postoperative state on the intracellular free amino acids in human muscle tissue.

    abstract::Five patients were studied before and two to three days after major, uncomplicated abdominal operation. Muscle tissue was obtained by needle biopsy from m. quadriceps femoris after eight hours overnight fast. Plasma free amino acids were analyzed in simultaneously obtained samples. In the homogenized muscle samples th...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197512000-00001

    authors: Vinnars E,Bergstöm J,Fürst P

    更新日期:1975-12-01 00:00:00

  • Normoxic wound fluid contains high levels of vascular endothelial growth factor.

    abstract:OBJECTIVE:To examine the temporal integration of vascular endothelial growth factor (VEGF), which has been shown to be present in wound fluid, with the putatively related processes of wound fluid oxygen content, wound angiogenesis, and granulation tissue formation. SUMMARY BACKGROUND DATA:During cutaneous wound repair...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199811000-00011

    authors: Howdieshell TR,Riegner C,Gupta V,Callaway D,Grembowicz K,Sathyanarayana,McNeil PL

    更新日期:1998-11-01 00:00:00

  • Management of secondary peritonitis.

    abstract:OBJECTIVE:The authors review current definition, classification, scoring, microbiology, inflammatory response, and goals of management of secondary peritonitis. SUMMARY BACKGROUND DATA:Despite improved diagnostic modalities, potent antibiotics, modern intensive care, and aggressive surgical treatment, up to one third ...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000658-199607000-00003

    authors: Wittmann DH,Schein M,Condon RE

    更新日期:1996-07-01 00:00:00

  • Efficacy and Safety of Glutamine-supplemented Parenteral Nutrition in Surgical ICU Patients: An American Multicenter Randomized Controlled Trial.

    abstract:OBJECTIVE:To determine whether glutamine (GLN)-supplemented parenteral nutrition (PN) improves clinical outcomes in surgical intensive care unit (SICU) patients. SUMMARY BACKGROUND DATA:GLN requirements may increase with critical illness. GLN-supplemented PN may improve clinical outcomes in SICU patients. METHODS:A p...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/SLA.0000000000001487

    authors: Ziegler TR,May AK,Hebbar G,Easley KA,Griffith DP,Dave N,Collier BR,Cotsonis GA,Hao L,Leong T,Manatunga AK,Rosenberg ES,Jones DP,Martin GS,Jensen GL,Sax HC,Kudsk KA,Galloway JR,Blumberg HM,Evans ME,Wischmeyer PE

    更新日期:2016-04-01 00:00:00

  • Regional therapy in the management of intrahepatic recurrence after surgery for hepatoma.

    abstract::The significance of regional therapy against the intrahepatic recurrence for hepatocellular carcinoma (HCC) was evaluated. During the past 6 years, 101 patients who had radical operations for HCC (liver cirrhosis, 75%; chronic hepatitis, 22%) were followed. Forty-seven patients (47%) had recurrences; the liver was the...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198707000-00006

    authors: Sasaki Y,Imaoka S,Fujita M,Miyoshi Y,Ohigashi H,Ishikawa O,Furukawa H,Koyama H,Iwanaga T,Kasugai H

    更新日期:1987-07-01 00:00:00

  • A Novel Method to Improve Perfusion of Ex Vivo Pumped Human Kidneys.

    abstract:OBJECTIVE:To determine if addition of the S-nitrosylating agent ethyl nitrite (ENO) to the preservation solution can improve perfusion parameters in pumped human kidneys. BACKGROUND:A significant percentage of actively stored kidneys experience elevations in resistance and decreases in flow rate during the ex vivo sto...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003702

    authors: Zhu L,Qureshi A,Awad M,Hausladen A,Perez-Protto S,Latifi SQ,Lebovitz DJ,Chavin K,Stamler JS,Reynolds JD

    更新日期:2019-12-05 00:00:00