Mesenteric Sparing Surgery in Laparoscopic Colorectal Resection for Endometriosis (IRE-1)

Università degli Studi dell'Insubria

Status: Unknown

Conditions: Bowel Endometriosis; Endometriosis; Constipation

Treatments: Procedure: Mesenteric vascular and nerve sparing surgery in laparoscopic segmental colorectal resection

Study type: Observational

Funder types: Other

Identifiers

NCT03565848

IRE-1

Details and patient eligibility

About

Colorectal resection is a standard surgical treatment of bowel deep infiltrating endometriosis (DIE). Nevertheless, concerns about different bowel functional outcomes related to radical surgery versus conservative surgery as shaving technique is a topic leading to much debate. Different surgical approach are used to perform colorectal resection and there is not a standardized technique. For the same concerns, studies have addressed the mesenteric vascular and nerve preservation both in oncological and benign intestinal disease with improved functional outcome. Therefore, the aim of this prospective study is to analyze feasibility and safety of mesenteric vascular and nerve Sparing Surgery in laparoscopic segmental colorectal resection for DIE with short and long term follow up. Women with DIE ,that underwent laparoscopic segmental colorectal resection, will undergo resection performed with inferior mesenteric artery and branching arteries preservation by dissecting adherent to the intestinal wall with mesenteric vascularization and innervation entirely preserved. Personal history, clinical data, surgical data, short and long term surgical complications and long term outcomes will be recorded. Symptoms and bowel function will be evaluated before and after surgery.

Enrollment: 50 estimated patients

Sex: Female

Ages: 20 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients referred for bowel endometriosis requiring colorectal resection

Exclusion criteria

• None

Trial design

50 participants in 1 patient group

Women underwent colorectal resection for endometriosis

Description:

Women referred for colorectal resection for deep infiltrating endometriosis that underwent laparoscopic segmental colorectal resection performed with mesenteric vascular and nerve sparing surgery.

Treatment:

Procedure: Mesenteric vascular and nerve sparing surgery in laparoscopic segmental colorectal resection