The implications of the anatomy of the nerves and vessels in the treatment of rectosigmoid endometriosis.
bowel endometriosis
bowel resection
deep infiltrating endometriosis
hypogastric nerve
inferior hypogastric plexus
middle rectal artery
pelvic nerves
posterior endometriosis
shaving
Journal
Clinical anatomy (New York, N.Y.)
ISSN: 1098-2353
Titre abrégé: Clin Anat
Pays: United States
ID NLM: 8809128
Informations de publication
Date de publication:
11 May 2023
11 May 2023
Historique:
revised:
30
04
2023
received:
31
12
2022
accepted:
02
05
2023
medline:
11
5
2023
pubmed:
11
5
2023
entrez:
11
5
2023
Statut:
aheadofprint
Résumé
Endometriosis is a common benign gynecological disease characterized by the presence of endometrial glands and stroma outside the uterus. It can be defined as endometrioma, superficial peritoneal endometriosis or deep infiltrating endometriosis (DIE) depending on the location and the depth of infiltration of the organs. In 5%-12% of cases, DIE affects the digestive tract, frequently involving the distal part of the sigmoid colon and rectum. Surgery is generally recommended in cases of obstructive symptoms and in cases with pain that is non-responsive to medical treatment. Selection of the most optimal surgical technique for the treatment of bowel endometriosis must consider different variables, including the number of lesions, eventual multifocal lesions, as well as length, width and grade of infiltration into the bowel wall. Except for some major and widely accepted indications regarding bowel resection, established international guidelines are not clear on when to employ a more conservative approach like rectal shaving or discoid resection, and when, instead, to opt for bowel resection. Damage to the pelvic autonomic nervous system may be avoided by detection of the middle rectal artery, where its relationship with female pelvic nerve fibers allows its use as an anatomical landmark. To reduce the risk of potential vascular and nervous complications related to bowel resection, a less invasive approach such as shaving or discoid resection can be considered as potential treatment options. Additionally, the middle rectal artery can be used as a reference point in cases of upper bowel resection, where a trans mesorectal technique should be preferred to prevent devascularization and denervation of the bowel segments not affected by the disease.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 American Association of Clinical Anatomists and British Association of Clinical Anatomists.
Références
Adachi, Y., Kakisako, K., Sato, K., Shiraishi, N., Miyahara, M., & Kitano, S. (2000). Factors influencing bowel function after low anterior resection and sigmoid colectomy. Hepato-Gastroenterology, 47(31), 155-158.
Afors, K., Centini, G., Fernandes, R., Murtada, R., Zupi, E., Akladios, C., & Wattiez, A. (2016). Segmental and discoid resection are preferential to bowel shaving for medium-term symptomatic relief in patients with bowel endometriosis. Journal of Minimally Invasive Gynecology, 23(7), 1123-1129. https://doi.org/10.1016/j.jmig.2016.08.813
Alabiso, G., Alio, L., Arena, S., di Prun, A. B., Bergamini, V., Berlanda, N., Busacca, M., Candiani, M., Centini, G., Di Cello, A., Exacoustos, C., Fedele, L., Gabbi, L., Geraci, E., Lavarini, E., Incandela, D., Lazzeri, L., Luisi, S., Maiorana, A., et al. (2015). How to Manage Bowel Endometriosis: The ETIC Approach. Journal of Minimally Invasive Gynecology, 22(4), 517-529. https://doi.org/10.1016/j.jmig.2015.01.021
Baader, B., & Herrmann, M. (2003). Topography of the pelvic autonomic nervous system and its potential impact on surgical intervention in the pelvis. Clinical Anatomy, 16(2), 119-130. https://doi.org/10.1002/ca.10105
Bassi, M. A., Sergio Podgaec, J. A. D., Jr., D'Amico Filho, N., Petta, C. A., & Abrao, M. S. (2011). Quality of life after segmental resection of the rectosigmoid by laparoscopy in patients with deep infiltrating endometriosis with bowel involvement. Journal of Minimally Invasive Gynecology, 18(6), 730-733. https://doi.org/10.1016/j.jmig.2011.07.014
Becker, C. M., Bokor, A., Heikinheimo, O., Horne, A., Jansen, F., Kiesel, L., King, K., Kvaskoff, M., Nap, A., Petersen, K., Saridogan, E., Tomassetti, C., van Hanegem, N., Vulliemoz, N., Vermeulen, N., & ESHRE Endometriosis Guideline Group. (2022). ESHRE guideline: Endometriosis. Human Reproduction Open, 2022(2), 1-26. https://doi.org/10.1093/hropen/hoac009
Belghiti, J., Ballester, M., Zilberman, S., Thomin, A., Zacharopoulou, C., Bazot, M., Thomassin-Naggara, I., & Daraï, E. (2014). Role of protective defunctioning stoma in colorectal resection for endometriosis. Journal of Minimally Invasive Gynecology, 21(3), 472-479. https://doi.org/10.1016/j.jmig.2013.12.094
Bourdel, N., Jaillet, L., Bar-Shavit, Y., Comptour, A., Pereira, B., Canis, M., & Chauvet, P. (2020). Indocyanine green in deep infiltrating endometriosis: A preliminary feasibility study to examine vascularization after rectal shaving. Fertility and Sterility, 114(2), 367-373. https://doi.org/10.1016/j.fertnstert.2020.03.042
Cirocchi, R., Trastulli, S., Farinella, E., Desiderio, J., Vettoretto, N., Parisi, A., Boselli, C., & Noya, G. (2012). High tie versus low tie of the inferior mesenteric artery in colorectal cancer: A RCT is needed. Surgical Oncology, 21(3), e111-e123. https://doi.org/10.1016/j.suronc.2012.04.004
Donnez, J., & Squifflet, J. (2010). Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules. Human Reproduction (Oxford, England), 25(8), 1949-1958. https://doi.org/10.1093/humrep/deq135
Ercoli, A., Delmas, V., Gadonneix, P., Fanfani, F., Villet, R., Paparella, P., Mancuso, S., & Scambia, G. (2003). Classical and nerve-sparing radical hysterectomy: An evaluation of the risk of injury to the autonomous pelvic nerves. Surgical and Radiologic Anatomy, 25(3-4), 200-206. https://doi.org/10.1007/s00276-003-0137-7
ETIC Endometriosis Treatment Italian Club. (2019). When more is not better: 10 “don'ts” in endometriosis management. An ETIC (*) position statement. Human Reproduction Open, 2019(3), hoz009. https://doi.org/10.1093/hropen/hoz009
Habib, N., Centini, G., Lazzeri, L., Amoruso, N., El Khoury, L., Zupi, E., & Afors, K. (2020). Bowel endometriosis: Current perspectives on diagnosis and treatment. International Journal of women's Health, 12, 35-47. https://doi.org/10.2147/IJWH.S190326
Hinoi, T., Okajima, M., Shimomura, M., Egi, H., Ohdan, H., Konishi, F., Sugihara, K., & Watanabe, M. (2013). Effect of left colonic artery preservation on anastomotic leakage in laparoscopic anterior resection for middle and low rectal cancer. World Journal of Surgery, 37(12), 2935-2943. https://doi.org/10.1007/s00268-013-2194-3
Ianieri, M. M., Raimondo, D., Rosati, A., Cocchi, L., Trozzi, R., Maletta, M., Raffone, A., Campolo, F., Beneduce, G., Mollo, A., Casadio, P., Raimondo, I., Seracchioli, R., & Scambia, G. (2022). Impact of nerve-sparing posterolateral parametrial excision for deep infiltrating endometriosis on postoperative bowel, urinary, and sexual function. International Journal of Gynecology & Obstetrics, 159(1), 152-159. https://doi.org/10.1002/IJGO.14089
Jayot, A., Bendifallah, S., Abo, C., Arfi, A., Owen, C., & Darai, E. (2020). Feasibility, complications, and recurrence after discoid resection for colorectal endometriosis: A series of 93 cases. Journal of Minimally Invasive Gynecology, 27(1), 212-219. https://doi.org/10.1016/j.jmig.2019.07.011
Jayot, A., Timoh, K. N., Bendifallah, S., Ballester, M., & Darai, E. (2018). Comparison of laparoscopic discoid resection and segmental resection for colorectal endometriosis using a propensity score matching analysis. Journal of Minimally Invasive Gynecology, 25(3), 440-446. https://doi.org/10.1016/j.jmig.2017.09.019
Kiyomatsu, T., Ishihara, S., Murono, K., Otani, K., Yasuda, K., Nishikawa, T., Tanaka, T., Hata, K., Kawai, K., Nozawa, H., Yamaguchi, H., & Watanabe, T. (2017). Anatomy of the middle rectal artery: A review of the historical literature. Surgery Today, 47(1), 14-19. https://doi.org/10.1007/S00595-016-1359-8
Landi, S., Ceccaroni, M., Perutelli, A., Allodi, C., Barbieri, F., Fiaccavento, A., Ruffo, G., McVeigh, E., Zanolla, L., & Minelli, L. (2006). Laparoscopic nerve-sparing complete excision of deep endometriosis: Is it feasible? Human Reproduction (Oxford, England), 21(3), 774-781. https://doi.org/10.1093/humrep/dei324
Martire, F. G., Zupi, E., Lazzeri, L., Morosetti, G., Conway, F., Centini, G., Solima, E., Pietropolli, A., Piccione, E., & Exacoustos, C. (2021). Transvaginal ultrasound findings after laparoscopic rectosigmoid segmental resection for deep infiltrating endometriosis. Journal of Ultrasound in Medicine, 40(6), 1219-1228. https://doi.org/10.1002/jum.15505
Masoni, L., Mari, F. S., Nigri, G., Favi, F., Gasparrini, M., Dall'Oglio, A., Pindozzi, F., Pancaldi, A., & Brescia, A. (2013). Preservation of the inferior mesenteric artery via laparoscopic sigmoid colectomy performed for diverticular disease: Real benefit or technical challenge: A randomized controlled clinical trial. Surgical Endoscopy, 27(1), 199-206. https://doi.org/10.1007/s00464-012-2420-3
Mauroy, B., Demondion, X., Bizet, B., Claret, A., Mestdagh, P., & Hurt, C. (2007). The female inferior hypogastric (= pelvic) plexus: Anatomical and radiological description of the plexus and its afferences-applications to pelvic surgery. Surgical and Radiologic Anatomy: SRA, 29(1), 55-66. https://doi.org/10.1007/s00276-006-0171-3
Miles, W. E. (1971). A method of performing abdomino-perineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon (1908). CA: A Cancer Journal for Clinicians, 21(6), 361-364. https://doi.org/10.3322/canjclin.21.6.361
Milone, M., Vignali, A., Milone, F., Pignata, G., Elmore, U., Musella, M., De Placido, G., Mollo, A., Fernandez, L. M. S., Coretti, G., Bracale, U., & Rosati, R. (2015). Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications. World Journal of Gastroenterology, 21(47), 13345-13351. https://doi.org/10.3748/wjg.v21.i47.13345
Minelli, L., Fanfani, F., Fagotti, A., Ruffo, G., Ceccaroni, M., Mereu, L., Landi, S., Pomini, P., & Scambia, G. (2009). Laparoscopic colorectal resection for bowel endometriosis: Feasibility, complications, and clinical outcome. Archives of Surgery (Chicago, Ill: 1960), 144(3), 234-239. https://doi.org/10.1001/archsurg.2008.555
Moawad, N. S., Guido, R., Ramanathan, R., Mansuria, S., & Lee, T. (2011). Comparison of laparoscopic anterior discoid resection and laparoscopic low anterior resection of deep infiltrating rectosigmoid endometriosis. JSLS: Journal of the Society of Laparoendoscopic Surgeons, 15(3), 331-338. https://doi.org/10.4293/108680811X13125733356431
Nezhat, C., Nezhat, F., & Pennington, E. (1992). Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaparoscopy and the CO2 laser. British Journal of Obstetrics and Gynaecology, 99(8), 664-667. https://doi.org/10.1111/j.1471-0528.1992.tb13851.x
Nezhat, C., Nezhat, F., Pennington, E., Nezhat, C. H., & Ambroze, W. (1994). Laparoscopic disk excision and primary repair of the anterior rectal wall for the treatment of full-thickness bowel endometriosis. Surgical Endoscopy, 8(6), 682-685. https://doi.org/10.1007/bf00678566
Ortiz, H., & Armendariz, P. (1996). Anterior resection: Do the patients perceive any clinical benefit? International Journal of Colorectal Disease, 11(4), 191-195. https://doi.org/10.1007/s003840050042
Raimondo, D., Maletta, M., Malzoni, M., Cosentino, F., Scambia, G., Falcone, F., Coppola, M., Turco, L. C., Borghese, G., Raffone, A., Casadio, P., Fabbri, C., Corsi, C., & Seracchioli, R. (2022). Indocyanine green fluorescence angiography after full-thickness bowel resection for rectosigmoid endometriosis: A multicentric experience with quantitative analysis. International Journal of Gynecology & Obstetrics, 158(3), 679-688. https://doi.org/10.1002/IJGO.14059
Remorgida, V., Ragni, N., Ferrero, S., Anserini, P., Torelli, P., & Fulcheri, E. (2005). How complete is full thickness disc resection of bowel endometriotic lesions? A prospective surgical and histological study. Human Reproduction (Oxford, England), 20(8), 2317-2320. https://doi.org/10.1093/humrep/dei047
Ripperda, C. M., Jackson, L. A., Phelan, J. N., Carrick, K. S., & Corton, M. M. (2017). Anatomic relationships of the pelvic autonomic nervous system in female cadavers: Clinical applications to pelvic surgery. American Journal of Obstetrics and Gynecology, 216(4), 388.e1-388.e7. https://doi.org/10.1016/j.ajog.2016.12.002
Roman, H., Abo, C., Huet, E., & Tuech, J.-J. (2016). Deep shaving and transanal disc excision in large endometriosis of mid and lower rectum: The Rouen technique. Surgical Endoscopy, 30(6), 2626-2627. https://doi.org/10.1007/s00464-015-4528-8
Roman, H., Vassilieff, M., Tuech, J. J., Huet, E., Savoye, G., Marpeau, L., & Puscasiu, L. (2013). Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum. Fertility and Sterility, 99(6), 1695-1704. https://doi.org/10.1016/j.fertnstert.2013.01.131
Ruffo, G., Sartori, A., Crippa, S., Partelli, S., Barugola, G., Manzoni, A., Steinasserer, M., Minelli, L., & Falconi, M. (2012). Laparoscopic rectal resection for severe endometriosis of the mid and low rectum: Technique and operative results. Surgical Endoscopy, 26(4), 1035-1040. https://doi.org/10.1007/s00464-011-1991-8
Seracchioli, R., Ferrini, G., Montanari, G., Raimondo, D., Spagnolo, E., & Di Donato, N. (2015). Does laparoscopic shaving for deep infiltrating endometriosis alter intestinal function? A prospective study. The Australian & New Zealand Journal of Obstetrics & Gynaecology, 55(4), 357-362. https://doi.org/10.1111/ajo.12358
Shoja, M. M., Sharma, A., Mirzayan, N., Groat, C., Watanabe, K., Loukas, M., & Tubbs, R. S. (2013). Neuroanatomy of the female abdominopelvic region: A review with application to pelvic pain syndromes. Clinical Anatomy, 26(1), 66-76. https://doi.org/10.1002/ca.22200
Spagnolo, E., Zannoni, L., Raimondo, D., Ferrini, G., Mabrouk, M., Benfenati, A., Villa, G., Bertoldo, V., & Seracchioli, R. (2014). Urodynamic evaluation and anorectal manometry pre- and post-operative bowel shaving surgical procedure for posterior deep infiltrating endometriosis: A pilot study. Journal of Minimally Invasive Gynecology, 21(6), 1080-1085. https://doi.org/10.1016/j.jmig.2014.05.012
Uccella, S., Gisone, B., Serati, M., Biasoli, S., Marconi, N., Angeretti, G., Gallotta, V., Cardinale, S., Rausei, S., Dionigi, G., Scambia, G., & Ghezzi, F. (2018). Functional outcomes of nerve-sparing laparoscopic eradication of deep infiltrating endometriosis: a prospective analysis using validated questionnaires. Archives of gynecology and obstetrics, 298(3), 639-647. https://doi.org/10.1007/s00404-018-4852-z
Vignali, M., Bianchi, S., Candiani, M., Spadaccini, G., Oggioni, G., & Busacca, M. (2005). Surgical treatment of deep endometriosis and risk of recurrence. Journal of Minimally Invasive Gynecology, 12(6), 508-513. https://doi.org/10.1016/j.jmig.2005.06.016
Wattiez, A., Puga, M., Albornoz, J., & Faller, E. (2013). Surgical strategy in endometriosis. Best Practice & Research. Clinical Obstetrics & Gynaecology, 27(3), 381-392. https://doi.org/10.1016/j.bpobgyn.2012.12.003
Young, S., Burns, M. K., DiFrancesco, L., Nezhat, A., & Nezhat, C. (2017). Diagnostic and treatment guidelines for gastrointestinal and genitourinary endometriosis. Journal of the Turkish German Gynecological Association, 18(4), 200-209. https://doi.org/10.4274/jtgga.2017.0143
Zakhari, A., Mabrouk, M., Raimondo, D., Mastronardi, M., Seracchioli, R., Mattei, B., Papillon-Smith, J., Solnik, M. J., Murji, A., & Lemos, N. (2020). Keep your landmarks close and the hypogastric nerve closer: An approach to nerve-sparing endometriosis surgery. Journal of Minimally Invasive Gynecology, 27(4), 813-814. https://doi.org/10.1016/J.JMIG.2019.08.001
Zeng, J., & Su, G. (2018). High ligation of the inferior mesenteric artery during sigmoid colon and rectal cancer surgery increases the risk of anastomotic leakage: A meta-analysis. World Journal of Surgical Oncology, 16(1), 157. https://doi.org/10.1186/s12957-018-1458-7