Evidence map›Paper›PMID 25487548›Full record

ArticleSurgical endoscopy2015

Laparoscopic treatment of deep infiltrating endometriosis: results of the combined laparoscopic gynecologic and colorectal surgery.

Stefano Rausei, Daniele Sambucci, Sebastiano Spampatti, Elisa Cassinotti, Gianlorenzo Dionigi, Giulia David, Fabio Ghezzi, Stefano Uccella, Luigi Boni

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Stefano RauseiMinimally Invasive Research Center, University of Insubria, Via Guicciardini 9, 21100, Varese, Italy.
Daniele SambucciMinimally Invasive Research Center, University of Insubria, Via Guicciardini 9, 21100, Varese, Italy. sambucci.daniele@gmail.com.
Sebastiano SpampattiMinimally Invasive Research Center, University of Insubria, Via Guicciardini 9, 21100, Varese, Italy.
Elisa CassinottiMinimally Invasive Research Center, University of Insubria, Via Guicciardini 9, 21100, Varese, Italy.
Gianlorenzo DionigiMinimally Invasive Research Center, University of Insubria, Via Guicciardini 9, 21100, Varese, Italy.
Giulia DavidMinimally Invasive Research Center, University of Insubria, Via Guicciardini 9, 21100, Varese, Italy.
Fabio GhezziDepartment of Obstetrics and Gynecology, University of Insubria, Varese, Italy.
Stefano UccellaDepartment of Obstetrics and Gynecology, University of Insubria, Varese, Italy.
Luigi BoniMinimally Invasive Research Center, University of Insubria, Via Guicciardini 9, 21100, Varese, Italy. luigi.boni@uninsubria.it.
University of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe short-term results of a retrospective consecutive series of multidisciplinary laparoscopic approach to deep infiltrating endometriosis with intestinal involvement requiring segmental bowel resection procedures are presented.

methodsPatients with radiologically or intraoperative-confirmed endometriosis, who underwent a combined laparoscopic segmental bowel resection by a team of gynecologists and colorectal surgeons, were retrospectively reviewed. The postoperative data were collected in a specific database and analyzed for short-term (30 days) postoperative outcomes with the comparison between two specimen's extraction methods.

resultsForty-one patients (median age of 36 years, range 25-44) have been operated by a combined team of gynecologist and colorectal surgeons. The median operative time was 247.5 min (range 155-375), and median estimated blood loss was 300 ml (range 100-1300). In 20 patients, the surgical specimens were extracted transvaginally, while in 21 cases, a sovrapubic transverse Pfannenstiel minilaparotomy was used. No intraoperative complications or conversion to laparotomy were reported. An acceptable cumulative rate of postoperative morbidity was observed (6/41, 15 %), without any postoperative deaths. Comparing the two subgroups of patients with different modalities of specimen retrieval, postoperative pain (assessed by visual analog scale) was significantly reduced in the transvaginal extraction group (median: 1 and range: 0-2 vs median: 3, 5 and range: 1-6; p = 0.002), without any statistically significant differences in terms of complications.

conclusionLaparoscopic bowel segmental resection combined with gynecologic surgery for deep infiltrating endometriosis with intestinal involvement is a valid treatment option with a low rate of postoperative complications. Transvaginal specimen extraction allows the same results of minilaparotomic incision, minimizing surgical trauma and warranting a clear benefit in terms of reduction of postoperative pain.

Indexed as

AdultBlood Loss, SurgicalDigestive System Surgical ProceduresEndometriosisFemaleGynecologic Surgical ProceduresHumansIntestinal DiseasesLaparoscopyOperative TimePatient Care TeamPostoperative PainRectal DiseasesRetrospective StudiesColorectal resectionDeep infiltrating endometriosisLaparoscopyTransvaginal

Identifiers

PMID25487548
OpenAlexW2030308195

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.