{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:46:14Z","timestamp":1788281174164,"version":"build-2803163510"},"reference-count":30,"publisher":"Galenos Yayinevi","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Background: Endometriosis surgery outcomes have been widely studied, yet heterogeneity in terminology and techniques persist.\n\nObjectives: This study focuses on the perioperative outcomes of a single surgeon using the same structured approach (SOSURE: Survey &amp; Sigmoid mobilisation, Ovarian mobilisation, Suspension of uterus and ovaries, Ureterolysis, Rectovaginal and pararectal space development, Excision of all visible disease) and adheres to the recent standardised terminology proposed by international gynaecological and endometriosis societies.\n\nMaterials and methods: A quality improvement study was conducted retrospectively from January 2015 to January 2023. Data collection involved two databases: the National British Society for Gynaecological Endoscopy (BSGE) database and a more comprehensive locally kept database. The methodology also integrated four endometriosis staging systems.\n\nMain outcome measures: Intra-operative and post-operative complication rates.\n\nResults: Between 2015 and 2023, 1047 women underwent 1116 endometriosis procedures in various UK hospitals with S.K. as primary surgeon. Exclusions totalled 20 due to missing records and specific surgical criteria. The rate of major post-operative complications (Clavien-Dindo grade 3a and 3b) was 1.5% and minor post-operative complications (Clavien-Dindo grade 1 and 2) were seen in 13.8%. No Clavien-Dindo grade 4 or 5 complications were noted.\n\nConclusion: Our study has shown a low complication rate in endometriosis surgery, despite increasing complexity of surgical cases. This is likely attributed to the surgeon\u2019s learning curve, high surgical volume and adherence to a structured approach.\n\nWhat\u2019s new? Our study demonstrates the learning curve of a surgeon over the course of 8 years. This series involved more than 1000 patients and to our knowledge, is the first to report the complexity of the casemix using four different endometriosis staging systems.<\/jats:p>","DOI":"10.52054\/fvvo.16.3.030","type":"journal-article","created":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T19:30:16Z","timestamp":1727897416000},"page":"325-336","source":"Crossref","is-referenced-by-count":2,"title":["Intra-operative and post-operative complications of endometriosis excision using the SOSURE approach \u2014 A single- surgeon retrospective series of 1116 procedures over 8 years"],"prefix":"10.52054","volume":"16","author":[{"given":"S","family":"Khazali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Bachi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Mondelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Fleischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Adamczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Delanerolle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.Q.","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Nisar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Bearn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2024,9]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Abo C, Moatassim S, Marty N et al. Postoperative complications after bowel endometriosis surgery by shaving, disc excision, or segmental resection: a three-arm comparative analysis of 364 consecutive cases. Fertil Steril. 2018;109:172-8.e1.","DOI":"10.1016\/j.fertnstert.2017.10.001"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Abrao MS, Andres MP, Miller CE et al. AAGL 2021 Endometriosis Classification: An Anatomy-based Surgical Complexity Score. J Minim Invasive Gynecol. 2021;28:1941-50.e1.","DOI":"10.1016\/j.jmig.2021.09.709"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Bafort C, van Elst B, Neutens S et al. Outcome after surgery for deep endometriosis infiltrating the rectum. Fertil Steril. 2020;113:1319-27.e3.","DOI":"10.1016\/j.fertnstert.2020.02.108"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Balla A, Quaresima S, Subiela JD et al. Outcomes after rectosigmoid resection for endometriosis: a systematic literature review. 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Eur J Obstet Gynecol Reprod Biol. 2019;232:46-53.","DOI":"10.1016\/j.ejogrb.2018.11.008"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Boudy AS, Vesale E, Arfi A et al. Prevesical peritoneum interposition to prevent risk of rectovaginal fistula after en bloc colorectal resection with hysterectomy for endometriosis: Results of a pilot study. J Gynecol Obstet Hum Reprod. 2020;49:101649.","DOI":"10.1016\/j.jogoh.2019.101649"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Braund S, Hennetier C, Klapczynski C et al. Risk of Postoperative Stenosis after Segmental Resection versus Disk Excision for Deep Endometriosis Infiltrating the Rectosigmoid: A Retrospective Study. J Minim Invasive Gynecol. 2021;28:50-56.","DOI":"10.1016\/j.jmig.2020.04.034"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Byrne D, Curnow T, Smith P et al. Laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centres: A multicentre prospective cohort study. BMJ Open. 2018;8:e018924.","DOI":"10.1136\/bmjopen-2017-018924"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Ceccaroni M, Ceccarello M, Clarizia R et al. Nerve-sparing laparoscopic disc excision of deep endometriosis involving the bowel: a single-center experience on 371 consecutives cases. Surg Endosc. 2021;35:5991-6000.","DOI":"10.1007\/s00464-020-08084-4"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Ceccaroni M, Ceccarello M, Raimondo I et al. \u201cA Space Odyssey\u201d on Laparoscopic Segmental Rectosigmoid Resection for Deep Endometriosis: A Seventeen-year Retrospective Analysis of Outcomes and Postoperative Complications among 3050 Patients Treated in a Referral Center. J Minim Invasive Gynecol. 2023;30:652-64.","DOI":"10.1016\/j.jmig.2023.04.005"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Redwine DB. 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