Endometriosis of the bowel.

Abstract:

:One hundred sixty-three cases of endometriosis of the bowel (5.4% of 3037 laparotomies for endometriosis at the Ochsner Foundation Hospital) were reviewed to assess the management of this complication. Colon and rectal surgeons performed bowel resections of the colon in 30 cases and resections of the ileum and/or cecum in 11 cases. Gynecologic surgeons resected bowel implants, often multiple, in 153 patients, and also performed other necessary surgery, either ablative (with removal of uterus, tubes, and one or both ovaries; 58.8%) or conservative (with preservation of reproductive potential; 41.2%). The bowel mucosa was opened in 15% of implant resections. Complications included transient pulmonary febrile responses in 43%, two pelvic infections, and one hematoma. Ileus was not a problem, and there were no deaths. Resection of intestinal implants appears to be a safe procedure.

journal_name

Obstet Gynecol

authors

Weed JC,Ray JE

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

727-30

issue

5

eissn

0029-7844

issn

1873-233X

journal_volume

69

pub_type

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