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Surgical Endoscopy
Published in: Surgical Endoscopy 8/2015

01-08-2015 | Dynamic Manuscript

Evaluation of pre- and post-operative symptoms in patients submitted to linear stapler nodulectomy due to anterior rectal wall endometriosis

Authors: Gil Kamergorodsky, Nucelio Lemos, Francisco C. Rodrigues, Fernando Yassuo Asanuma, Paulo D’Amora, Eduardo Schor, Manoel J. B. C. Girão

Published in: Surgical Endoscopy | Issue 8/2015

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Abstract

Background

The objective of this study was to evaluate the feasibility and safety of a more versatile rectosigmoid nodulectomy technique using a linear stapler.

Methods

Case series. Setting: tertiary care (reference center for endometriosis surgery). Patients: Sixty-one consecutive patients who were operated on between January 2006 and February 2013. Intervention: anterior rectal wall nodulectomy technique using sequential bites of the linear stapler. Measurements: Perioperative complications were recorded, and a condition-specific bowel dysfunction quality of life questionnaire (Rome III—Constipation) was applied pre-operatively and post-operatively during the first week of April 2013. Design classification: Canadian Task Force III

Results

A total of 61 patients were submitted to the intervention. After a mean follow-up period of 1.83 years (.25–7.1 ± 1.97), no post-operative fistula or leakage was observed. In addition, no cases of rectal stenosis or bowel obstruction were recorded, and two patients were excluded for not answering the post-operative questionnaire. According to the Rome III questionnaire, constipation symptoms improved significantly in 12 out of 17 questions. No patient reported worsening of symptoms in question.

Conclusions

Linear stapler resection is a safe alternative to segmentar resection for endometriotic nodules on the anterior rectal wall.
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Metadata
Title
Evaluation of pre- and post-operative symptoms in patients submitted to linear stapler nodulectomy due to anterior rectal wall endometriosis
Authors
Gil Kamergorodsky
Nucelio Lemos
Francisco C. Rodrigues
Fernando Yassuo Asanuma
Paulo D’Amora
Eduardo Schor
Manoel J. B. C. Girão
Publication date
01-08-2015
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 8/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-014-3945-4

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