AGES XXIII Annual Scientific Meeting 2013 Abstracts & Program

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The Pelvis in Pain Endometriosis and Beyond Free Communications 1 - Thursday 7 March
AGES XXIII Annual Scientific Meeting 2013 Free Communications 1 - Thursday 7 March complications recorded in the study population. Time to create a pneumoperitoneum was significantly faster in the XCEL bladeless trocar arm (mean difference 175 sec, p= 40Kg/ m 2 ). The remaining 37% (12) had a BMI < 25 Kg/m 2 ). Surgery was completed laparoscopically in 21 (66%) women, of whom 19 had pure excision of disease and a further 2 included hysterectomy. Laparotomy was performed in the remaining 11 (34%), including 2 women who had pure excision alone, 1 myomectomy, 7 hysterectomies (including 1 Crohns stoma refashioning and 1 de novo caecal resection) and 1 anterior resection (3% of all cases). A total of 23 women (72%) had fertility sparing surgery, in whom 19 (83%) were performed laparoscopically. There was a higher mean BMI in the laparoscopic group (30 Kg/m 2 ) when compared with the laparotomy group (26 Kg/ m 2 ). Only 1 out of the 11 in the laparotomy group had a BMI > 30. Three major complications occurred in the laparotomy group, including 2 wound infections requiring surgical debridement and 1 return to theatre for a pelvic/wound abscess. CONCLUSIONS: Obesity did not reduce the chances of successfully completing the surgery laparoscopically, whereas the addition of hysterectomy or bowel resection increased the risk of laparotomy. Complications occurred in the group undergoing laparotomy and this group had the lower BMI when compared with the laparoscopy group. Laparoscopic rectal shaving of the disease in the majority of cases is possible, with a subsequent very low anterior resection rate and low complication rates, particularly in the fertility sparing group, as reported in other published studies 2 . REFERENCES: 1. Association of Endometriosis with body size and figure. Hediger ML, Hartnett HJ, Louis GM. Fertil Steril 2005 Nov; 84 (5): 1366-74 2. Complications, Pregnancy and Recurrence in a Prospective Series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules. Donnez J, Squifflet J. Hum Reprod 2010:25(8): 1949-1958 AUTHOR AFFILIATION: S. Edmonds 1 , D. Barclay 1 , A. Van der Merwe 1 , L. Israel 2 , S.-L. Peng 2 ; 1. Department of Gynaecology, Middlemore Hospital, Auckland, New Zealand. 2. Department of Colorectal Surgery, Middle more Hospital, Auckland New Zealand. 25
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AGES XXIII Annual Scientific Meeting 2013 Abstracts & Program

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