Observational studyActa obstetricia et gynecologica Scandinavica2022
Rates of severe complications in patients undergoing colorectal surgery for deep endometriosis-a retrospective multicenter observational study.
Observational study in Acta obstetricia et gynecologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 21 citations in OpenAlex.
- Rectal Shaving in Colorectal Endometriosis Surgery-Definition, Evidence and Variability.Journal of clinical medicine · 2026Review
- Effects of centralized multidisciplinary surgical endometriosis care: a retrospective 3-year follow-up cohort study.BMC women's health · 2026Article
- Managing the aftermath: complications and outcome after colorectal resection for deep infiltrating endometriosis-insights from a certified surgical endoscopy center.Scientific reports · 2026Article
- Surgically Relative Risk Factors for Lower Colorectal Anastomotic Dehiscence and Rectovaginal Fistulas in Complex Deep Endometriosis Cases: A Single-Center Retrospective-Prospective Cohort Study.Journal of clinical medicine · 2026Article
- Endometriosis and Fertility: A Practical Guide: Results of the Working Group of the Weissensee 2025 Workshop of the Scientific Endometriosis Foundation.Geburtshilfe und Frauenheilkunde · 2026Article
- Endometriosis treatment pathways in the largest private health insurance in Brazil: A real-world data study.PloS one · 2026Article
- Deep pelvic endometriosis: clinical features, diagnosis, and treatment - a comprehensive review.Archives of gynecology and obstetrics · 2025Review
- Certification of a Rural Endometriosis Clinic Leads to Improvement in the Diagnosis and Treatment of Endometriosis - a Retrospective Analysis.Geburtshilfe und Frauenheilkunde · 2025Article
- Gastrointestinal function and pain outcomes following segmental resection or discoid resection for low rectal endometriosis.Wiener klinische Wochenschrift · 2025Article
- Recommendations for the implementation and conduct of multidisciplinary team meetings for those providing endometriosis and adenomyosis care - a Delphi consensus of the European Endometriosis League (EEL).Facts, views & vision in ObGyn · 2024Article
- Intra-operative and post-operative complications of endometriosis excision using the SOSURE approach - A single- surgeon retrospective series of 1116 procedures over 8 years.Facts, views & vision in ObGyn · 2024Article
- The (cost-) effectiveness Of Surgical excision of Colorectal endometriosis compared to ART treatment trAjectory (TOSCA study) - a study protocol.Reproduction & fertility · 2024Article
- Analyzing postoperative complications in colorectal cancer surgery: a systematic review enhanced by artificial intelligence.Frontiers in surgery · 2024Review
- Innovative ICG Application in Benign Gynaecological Surgery: Enhancing Safety and Precision.Case reports in obstetrics and gynecology · 2024Article
- The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies-The Experience of Our Center.Healthcare (Basel, Switzerland) · 2023Article
- Rates of severe complications in patients undergoing colorectal surgery for deep endometriosis-a retrospective multicenter observational study.Acta obstetricia et gynecologica Scandinavica · 2022Observational
Corrections and comments
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Authors and funding
23 authors at 20 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSurgical experience and hospital procedure volumes have been associated with the risk of severe complications in expert centers for endometriosis in France. However, little is known about other certified units in Central European countries. MATERIAL AND
methodsThis retrospective observational study included 937 women who underwent surgery for colorectal endometriosis between January 2018 and January 2020 in 19 participating expert centers for endometriosis. All women underwent complete excision of colorectal endometriosis by rectal shaving, discoid or segmental resection. Postoperative severe complications were defined as grades III-IV of the Clavien-Dindo classification system including anastomotic leakage, fistula, pelvic abscess and hematoma. Surgical outcomes of centers performing less than 40 (group 1), 40-59 (group 2) and ≥60 procedures (group 3) over a period of 2 years were compared.
resultsThe overall complication rate of grade III and IV complications was 5.1% (48/937), with rates of anastomotic leakage, fistula formation, abscess and hemorrhage in segmental resection, discoid resection and rectal shaving, respectively, as follows: anastomotic leakage 3.6% (14/387), 1.4% (3/222), 0.6% (2/328); fistula formation 1.6% (6/387), 0.5% (1/222), 0.9%; (3/328); abscess 0.5% (2/387), 0% (0/222) and 0.6% (2/328); hemorrhage 2.1% (8/387), 0.9% (2/222) and 1.5% (5/328). Higher overall complication rates were observed for segmental resection (30/387, 7.8%) than for discoid (6/222, 2.7%, P = 0.015) or shaving procedures (12/328, 3.7%, P = 0.089). No significant correlation was observed between the number of procedures performed and overall complication rates (r
conclusionsA high variability in complication rates does exist in centers with a low volume of activity. Major complications may decrease with an increase in the volume of activity but this effect cannot be generally applied to all institutions and settings.
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