{
    "abstract": "The objective of our study is to present the activity volume and postoperative complications in a center exclusively destined to endometriosis surgery.\nRetrospective mono-centric study analyzing data collected prospectively in patients surgically managed for endometriosis from September 2018 to August 2019.\nFour hundred and ninety-one patients underwent surgery for endometriosis during 12 consecutive months: 268 for colorectal localizations (54.6%), 51 for endometriosis of the urinary tract (10.4%), 17 for nodules of ileum and right colon (3.5%), 43 for nodules of parametriums (8.8%), 12 for nodules of sacral roots and sciatic nerves (2.4%), 7 for diaphragmatic localizations (1.4%). Among 268 patients with colorectal endometrioses, of which 48.1% concerned the low and mid rectum, shaving was performed in 102 cases, disc excision in 96 cases and colorectal resection in 100 cases. Stoma was performed in 13.1% of the cases. Patients could have 2 different procedures for multiple colorectal nodules. One hundred and ninety-nine ovarian endometriomas were managed by plasma energy ablation in 64.8%, sclerotherapy in 11.1%, cystectomy in 13.1%, oophorectomy in 11.1%. Major postoperative complications included 12 rectovaginal fistulas, while 18 other surgical procedures were carried out for various complications. In all, 38.1% of procedures involved a general surgeon and 5.3% an urologist.\nThe creation of centers exclusively destined to endometriosis surgery allows the multidisciplinary management of a high number of patients, with an over-representation of severe forms and rare locations of the disease, followed by satisfactory complication rates.",
    "authors": [
        {
            "affiliation": "Centre d'endom\u00e9triose, clinique Tivoli-Ducos, 220, rue Mandron, 33000 Bordeaux, France; D\u00e9partement de chirurgie gyn\u00e9cologique et neuropelv\u00e9ologie, H\u00f4pital Universitaire d'Aarhu, Aarhus, Danemark. Electronic address: horace.roman@gmail.com.",
            "firstname": "H",
            "initials": "H",
            "lastname": "Roman"
        },
        {
            "affiliation": "Centre d'endom\u00e9triose, clinique Tivoli-Ducos, 220, rue Mandron, 33000 Bordeaux, France.",
            "firstname": "I",
            "initials": "I",
            "lastname": "Chanavaz-Lacheray"
        },
        {
            "affiliation": "Centre d'endom\u00e9triose, clinique Tivoli-Ducos, 220, rue Mandron, 33000 Bordeaux, France.",
            "firstname": "D",
            "initials": "D",
            "lastname": "Forestier"
        },
        {
            "affiliation": "Centre d'endom\u00e9triose, clinique Tivoli-Ducos, 220, rue Mandron, 33000 Bordeaux, France.",
            "firstname": "E",
            "initials": "E",
            "lastname": "Magne"
        },
        {
            "affiliation": "Centre d'endom\u00e9triose, clinique Tivoli-Ducos, 220, rue Mandron, 33000 Bordeaux, France.",
            "firstname": "O",
            "initials": "O",
            "lastname": "Celhay"
        },
        {
            "affiliation": "Centre d'endom\u00e9triose, clinique Tivoli-Ducos, 220, rue Mandron, 33000 Bordeaux, France.",
            "firstname": "G",
            "initials": "G",
            "lastname": "Pasticier"
        },
        {
            "affiliation": "Centre d'endom\u00e9triose, clinique Tivoli-Ducos, 220, rue Mandron, 33000 Bordeaux, France.",
            "firstname": "J",
            "initials": "J",
            "lastname": "Susperregui"
        },
        {
            "affiliation": "Centre d'endom\u00e9triose, clinique Tivoli-Ducos, 220, rue Mandron, 33000 Bordeaux, France.",
            "firstname": "B",
            "initials": "B",
            "lastname": "Merlot"
        }
    ],
    "conclusions": "The creation of centers exclusively destined to endometriosis surgery allows the multidisciplinary management of a high number of patients, with an over-representation of severe forms and rare locations of the disease, followed by satisfactory complication rates.",
    "copyrights": "Copyright \u00a9 2020 The Authors. Published by Elsevier Masson SAS.. All rights reserved.",
    "doi": "10.1016/j.gofs.2020.03.009",
    "journal": "Gynecologie, obstetrique, fertilite & senologie",
    "keywords": [
        "Deep endometriosis",
        "Disc excision",
        "Endometrioma",
        "Endometriosis",
        "Endom\u00e9triome",
        "Endom\u00e9triose",
        "Endom\u00e9triose profonde",
        "Resection",
        "R\u00e9section: Ex\u00e9r\u00e8se disco\u00efde",
        "Shaving"
    ],
    "methods": null,
    "publication_date": "2020-03-17",
    "pubmed_id": "32173597",
    "results": "Four hundred and ninety-one patients underwent surgery for endometriosis during 12 consecutive months: 268 for colorectal localizations (54.6%), 51 for endometriosis of the urinary tract (10.4%), 17 for nodules of ileum and right colon (3.5%), 43 for nodules of parametriums (8.8%), 12 for nodules of sacral roots and sciatic nerves (2.4%), 7 for diaphragmatic localizations (1.4%). Among 268 patients with colorectal endometrioses, of which 48.1% concerned the low and mid rectum, shaving was performed in 102 cases, disc excision in 96 cases and colorectal resection in 100 cases. Stoma was performed in 13.1% of the cases. Patients could have 2 different procedures for multiple colorectal nodules. One hundred and ninety-nine ovarian endometriomas were managed by plasma energy ablation in 64.8%, sclerotherapy in 11.1%, cystectomy in 13.1%, oophorectomy in 11.1%. Major postoperative complications included 12 rectovaginal fistulas, while 18 other surgical procedures were carried out for various complications. In all, 38.1% of procedures involved a general surgeon and 5.3% an urologist.",
    "title": "[Early postoperative complications in a multidisciplinary surgical center exclusively dedicated to endometriosis: A 491-patients series].",
    "xml": "<Element 'PubmedArticle' at 0x7885042693f0>"
}