{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:21:40Z","timestamp":1791498100034,"version":"4.3.4"},"reference-count":22,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Laparoscopic bowel resections for endometriosis are safe and effective but only short-term follow-up has been evaluated. In the present study long-term outcome in terms of intestinal and urinary function, fertility, chronic pain, and recurrence was assessed.<jats:italic>Materials and Methods<\/jats:italic>. From January 2002 to December 2010 nine hundred patients underwent laparoscopic bowel resection for endometriosis, and on 774 (86%) a questionnaire was administered. Patients were divided into 3 groups on the strength of the operation date. Postoperative diarrhea, constipation, rectal bleeding, tenesmus, dyschezia, dysuria, dyspareunia, fertility, and recurrence of disease were assessed.<jats:italic>Results<\/jats:italic>. The median follow-up was 54 months (range 1\u2013120). All the evaluated symptoms significantly improved over time, with<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.0001<\/mml:mn><\/mml:math>for dyspareunia, constipation, and pelvic pain and<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.004<\/mml:mn><\/mml:math>for diarrhea. Nonsignificant improvement was reported for dysuria and rectal bleeding (with<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.452<\/mml:mn><\/mml:math>and<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.097<\/mml:mn><\/mml:math>, resp.).<jats:italic>Conclusions<\/jats:italic>. The present results confirm that bowel resections for endometriosis are correlated with an acceptable complication rate even at long-term follow-up and that symptoms significantly improve over time, except for rectal bleeding and dysuria, the latter associated with a neurological damage.<\/jats:p>","DOI":"10.1155\/2014\/463058","type":"journal-article","created":{"date-parts":[[2014,4,29]],"date-time":"2014-04-29T21:06:18Z","timestamp":1398805578000},"page":"1-5","source":"Crossref","is-referenced-by-count":41,"title":["Long-Term Outcome after Laparoscopic Bowel Resections for Deep Infiltrating Endometriosis: A Single-Center Experience after 900 Cases"],"prefix":"10.1155","volume":"2014","author":[{"given":"Giacomo","family":"Ruffo","sequence":"first","affiliation":[{"name":"Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Scopelliti","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Manzoni","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Sartori","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Rossini","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Ceccaroni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Minelli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Crippa","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Partelli","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni 5, 37024 Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Falconi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Via Don A. 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