Comparison of imaging techniques for estimating the depth of bowel wall infiltration by endometriosis.

Comparison of imaging techniques for estimating the depth of bowel wall infiltration by endometriosis. By Selma Oransay

The surgical removal of deep endometriosis is the cornerstone of the management. However, the decision for the varying surgical approach types ranging from conservative management (shaving) to segmental or discoid resection depends on the depth of infiltration within the bowel wall, which…

Key Points Lay Summary

Nerve-sparing technique for deep infiltrating endometriosis and its impacts on pelvic organ and sexual functions.

 Nerve-sparing technique for deep infiltrating endometriosis and its impacts on pelvic organ and sexual functions. By Selma Oransay

Deep infiltrating endometriosis and involvement of parametrium cause severe pelvic pain and dysfunction of some pelvic organs resulting in a reduction in women's quality of life. Although surgery for DIE aims to relieve pelvic pain, entering into the posterior parametrial…

Key Points Lay Summary

Effects of Bowel Endometriosis Surgery on Mode of Delivery

Effects of Bowel Endometriosis Surgery on Mode of Delivery By Özge Özkaya

Less than a third of doctors counsel women about the possible effects of surgical treatment of bowel endometriosis on their mode of delivery should they become pregnant, according to a new study published in the Journal of Obstetrics and Gynaecology.…

Key Points Lay Summary

Emotions on the 'Surgery Requirement' in patients with bowel endometriosis

Emotions on the 'Surgery Requirement' in patients with bowel endometriosis By Eylül GÜN

Endometriosis is known to have many adverse effects in patients’ lives such as a significant decrease in the quality of life, psychosocial problems, loss of productivity and focus while working. With the constant chronic pain, the patients mostly present with…

Key Points Lay Summary

A rare complication of  endometriosis

A rare complication of  endometriosis By Selma Oransay

Morales et al. from the Monterrey School of Medicine, Mexico, reported a case of bowel intussusception in a woman with severe endometriosis to draw attention to this very rare endometriosis complication. The case is a 27 years old young female…

Key Points Lay Summary

Not just the pain stops but also the bowel function improves after DIE surgery

Not just the pain stops but also the bowel function improves after DIE surgery By Bahar Yuksel

Bowel endometriosis and the techniques to operate it have always been a challenge. The study conducted by Beraldo et al., from Brazil, highlighted the results of an effective nerve-sparing bowel surgery on endometriosis lesions and its long-term effects on patients. The…

Key Points Lay Summary

How to predict the complications after laparoscopic bowel resection in women with endometriosis

How to predict the complications after laparoscopic bowel resection in women with endometriosis By Hale Goksever Celik

The endometriotic lesions infiltrating the bowel wall more than 5 mm. are called "deep infiltrating endometriosis". The patients having bowel involvement may have constipation, diarrhea, tenesmus, or rectal bleeding. Surgical management is the main treatment modality to provide benefits on pain, infertility,…

Key Points Lay Summary

Exploring the Role of Neuropathy in Re-Operative Endometriosis - Marc Possover, MD, PhD

Exploring the Role of Neuropathy in Re-Operative Endometriosis - Marc Possover, MD, PhD By Özge Özkaya

Prof. Possover starts his presentation by summarizing the possible cause of pelvic neuropathy following endometriosis surgery. Pelvic neuropathy is the damage or dysfunction of the pelvic nerve. Prof. Possover explained that this could either be due to incomplete surgery, disease…

Key Points Lay Summary

Indocyanine green in endometriosis surgery

Indocyanine green in endometriosis surgery By Selma Oransay

Recently, indocyanine green is well studied and used safely in real-time perfusion to organs or tissues, after taking into consideration its binding capacity to the plasma proteins. The usefulness and the effectiveness of near-infrared camera guided indocyanine green is proved with…

Key Points Lay Summary

Time for reassessment : Laparoscopic surgery and bowel endometriosis

Time for reassessment : Laparoscopic surgery and bowel endometriosis By Nasuhi Engin Aydin

Ferrero and associates from medical centers of Verona and Genoa, Italy, made a comprehensive review covering all aspects of the surgical approach to bowel endometriosis, published their results in "Best Practice & Research Clinical Obstetrics and Gynaecology". Bowel endometriosis is the…

Key Points Lay Summary

Bowel surgery for endometriosis

Bowel surgery for endometriosis By Dr. Youngran Park

Endometriosis is an estrogen-dependent disorder. The disease harbors various complications. Deep endometriosis involving the bowel is only one aspect of the condition that has variable phenotypic presentations and pathologic subtypes. Knowledge of the short- and long-term risks of the surgical…

Key Points Lay Summary

Voiding Dysfunction after Colorectal Surgery for Endometriosis

Voiding Dysfunction after Colorectal Surgery for Endometriosis By Timur Seckin

Postoperative voiding dysfunction is a less frequent complication of rectal shaving than that of discoid excision or segmental resection in patients undergoing colorectal surgery for endometriosis, regardless of its definition. This is according to a meta-analysis conducted by researchers from…

Key Points Lay Summary

Prevalence, Risk factors and Management of Bowel Fistula after Rectosigmoid Surgery for Deep Endometriosis

Prevalence, Risk factors and Management of Bowel Fistula after Rectosigmoid Surgery for Deep Endometriosis By Selma Oransay

Bowel fistula is a severe complication after the colorectal endometriosis surgery, but little is known about its prevalence, and reports on large series are lacking. To discuss specific management on colorectal deep endometriosis, Roman et al. conducted a retrospective study…

Key Points Lay Summary

Ultrasound diagnosis of endometriosis: One Size Does-Not-Fit-All

Ultrasound diagnosis of endometriosis: One Size Does-Not-Fit-All By Murat Osman

Deeply infiltrating endometriosis (DIE) is an advanced form of endometriosis that causes significant morbidity to many women. The Pouch of Douglas (POD), otherwise known as the rectouterine space, is the anatomic area between the posterior cervix and anterior rectum. Its…

Key Points Lay Summary

Postmenopausal endometriosis: Is it a rare phenomenon?

Postmenopausal endometriosis: Is it a rare phenomenon? By Hale Goksever Celik

Endometriosis, the estrogen-dependent disease defined as the localization of endometrial glandular and stromal tissue outside the uterine cavity, is generally diagnosed in the reproductive-aged women. However, recent literature proved that this disease can also be observed in the premenopausal and…

Key Points Lay Summary

Appendiceal endometriosis

Appendiceal endometriosis By Selma Oransay

Jeong et al. from the Departement of Surgery, Trinity School of Medicine, Saint Vincent, recently published their interesting appendectomy case in "Hong Kong Medical Journal". In their case, endometriosis inside the cavity of the appendix mimicked appendicitis, the patient submitted…

Key Points Lay Summary

Cycle-related gastrointestinal complaints in reproductive age young women

Cycle-related gastrointestinal complaints in reproductive age young women By Timur Seckin

An analysis of 1-year data on 266 patients who presented to the Clinic and Polyclinic for Gynecology and Reproductive Medicine at Jena University Hospital to undergo surgery for endometriosis and its symptoms was performed by Nicolaous K. et al., a…

Key Points Lay Summary

MRI findings predicting the need for colorectal surgical treatment of deep infiltrating endometriosis

MRI findings predicting the need for colorectal surgical treatment of deep infiltrating endometriosis By Irem Onur

LAY SUMMARY: Brusic A. et al., a group of researchers from Australia, conducted a retrospective study to identify the features of deep infiltrating endometriosis on MRI which have an association with colorectal surgical bowel resection. They have recently published their…

Key Points Lay Summary

Cloverleaf Sign: A new MRI sign for diagnosing DIE

Cloverleaf Sign: A new MRI sign for diagnosing DIE By Selma Oransay

Magnetic resonance imaging provides accurate information for the staging of deeply infiltrating endometriosis, especially when the patient is virgin, obese or has limited transvaginal examinations due to pelvic pain. In this recently published study in Investive Radiology, Harma et al.…

Key Points Lay Summary

Endometriosis is linked with the most common autoimmune diseases

Endometriosis is linked with the most common autoimmune diseases By Demet Candaş Green

How endometriosis develops is not completely clear, but the involvement of the immune system has been heavily suggested. Women with endometriosis share some common autoimmune disorders, therefore, a potential link between autoimmune diseases and endometriosis has been investigated over the…

Key Points Lay Summary

How to predict complications for endometriosis surgery?

How to predict complications for endometriosis surgery? By Timur Seckin

In a new study co-led by scientists at Sorbonne University, a nomogram is built to better inform patients about the risk of deep endometriosis surgery without bowel involvement. The findings have been published in the European Journal of Obstetrics &…

Key Points Lay Summary

Bowel endometriosis: What you need to know

Bowel endometriosis: What you need to know By Demet Candaş Green

When the endometrial tissue infiltrates the intestinal walls and reaches inside the intestines, this condition is called "bowel endometriosis". It is estimated that between 3.8% and 37% of women with endometriosis are affected by bowel endometriosis. The endometriosis lesions infiltrating…

Key Points Lay Summary

Will I Have Complications After Endometriosis Surgery?

Will I Have Complications After Endometriosis Surgery? By Özge Özkaya

The rate of complications after surgery to treat deep infiltrating endometriosis is low, confirmed a study by researchers in Germany. It is important to know whether major or minor complications following surgery are likely to develop and what the outcome…

Key Points Lay Summary

Transvaginal ultrasound for "rectosigmoid endometriosis" diagnosis: Is bowel preparation necessary?

Transvaginal ultrasound for By Hale Goksever Celik

Rectosigmoid endometriosis is a severe form of deep endometriosis. Women having rectosigmoid endometriosis present with pain and several intestinal complains such as constipation, diarrhea, intestinal cramping, abdominal bloating, feeling of incomplete evacuation, the passage of mucus and rectal bleeding during…

Key Points Lay Summary

Reduced pain and increased fertiliy rates after surgery for colorectal endometriosis

Reduced pain and increased fertiliy rates after surgery for colorectal endometriosis By Selma Oransay

This prospective cohort study which recently published in AOGS by Hudelist et al. from Oslo University, Norway is about their one hundred thirty-four laparoscopic operations of DIE cases performed between 2011 and  2016, in a tertiary center in Oslo. The…

Key Points Lay Summary

The vaginal delivery rate of singleton term pregnancies still remains the same after total deep infiltrating endometrosis excisions

The vaginal delivery rate of singleton term pregnancies still remains the same after total deep infiltrating endometrosis excisions By Selma Oransay

This recently published report in the Journal of Fertility Sterility is planned as a  matched case-control study, by Nirgianakanis et al. from the University of Bern, Switzerland. Authors claimed their study is the first because previous studies on pregnancy outcome after laparoscopic…

Key Points Lay Summary

How to Minimize the Costs Associated with Endometriosis Care

How to Minimize the Costs Associated with Endometriosis Care By Kasthuri Nair

Paolo Vercellini, Maria Pina Frattaruolo and Laura Buggio, from Milan, Italy,  recently published an editorial titled “Toward minimally disruptive management of symptomatic endometriosis: reducing low-value care and the burden of treatment” in Expert Review of Pharmacoeconomics & Outcomes Research. The…

Key Points Lay Summary

Laparoscopic Bowel Resection Can Be Beneficial Rectosigmoid Endometriosis

Laparoscopic Bowel Resection Can Be Beneficial Rectosigmoid Endometriosis By Kasthuri Nair

Riiskjær et al. recently published a paper titled “Pelvic Pain and Quality of Life Before and After Laparoscopic Bowel Resection for Rectosigmoid Endometriosis: A Prospective, Observational Study” in Diseases of the Colon & Rectum. This paper focuses on the effects…

Key Points Lay Summary

Bowel Function not Affected by Type of Surgery in Deep Rectal Endometriosis, Clinical Trial Shows

Bowel Function not Affected by Type of Surgery in Deep Rectal Endometriosis, Clinical Trial Shows By Özge Özkaya

Conservative surgery for the management of deep rectal endometriosis does not seem to improve the function of the digestive and urinary system compared to more radical surgery according to a new study by French researchers published in the scientific journal Human…

Key Points Lay Summary

New Scoring System to Identify Bowel Endometriosis Syndrome

New Scoring System to Identify Bowel Endometriosis Syndrome By Özge Özkaya

Researchers in Denmark have developed a new scoring system to identify women with bowel endometriosis syndrome (BENS) and monitor the effect of treatments on the syndrome. The scoring system that can be used in everyday clinical practice is the first…

Key Points Lay Summary

Is operation the best option for infertile patients with digestive endometriosis?

Is operation the best option for infertile patients with digestive endometriosis? By Demet Candaş Green

A severe form of endometriosis affecting 8-12% of women with deep endometriosis is bowel endometriosis. Bowel involvement with associated infertility is a serious challenge for gynecologists who must choose between two main therapeutic options: surgery or medically assisted procreation (e.g.…

Key Points Lay Summary

Are there contributing factors to the co-presence of Irritable Bowel Syndrome and Endometriosis?

Are there contributing factors to the co-presence of Irritable Bowel Syndrome and Endometriosis? By Murat Osman

Recently, there has been an association between the presence of endometriosis and increased visceral and pressure hypersensitivity, chronic pelvic pain, and other pain and mood disorders. IBS is a functional bowel disorder that is characterized by recurrent abdominal pain or…

Key Points Lay Summary

Bowel Involvement in Deep Infiltrating Endometriosis

Bowel Involvement in Deep Infiltrating Endometriosis By Özge Özkaya

Cleansing the colon before an ultrasound makes it easier to detect rectal nodules of deep infiltrating endometriosis, found a study published in the Journal of Minimally Invasive Gynecology.  Cleansing the colon before a surgery is called bowel preparation and is…

Key Points Lay Summary