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Article ; Online: Discoid excision for colorectal endometriosis associated infertility: A balance between fertility outcomes and complication rates.

Dabi, Yohann / Ebanga, Lea / Favier, Amélia / Kolanska, Kamila / Puchar, Anne / Jayot, Aude / Ferrier, Clément / Touboul, Cyril / Bendifallah, Sofiane / Darai, Emile

Journal of gynecology obstetrics and human reproduction

2024 Volume 53, Issue 2, Page(s) 102723

Abstract: Objective: The objective of our study was to study the impact of discoid excision for deep endometriosis (DE) with colorectal involvement on fertility outcomes.: Methods: 49 patients with a desire for pregnancy treated with discoid excision for ... ...

Abstract	Objective: The objective of our study was to study the impact of discoid excision for deep endometriosis (DE) with colorectal involvement on fertility outcomes. Methods: 49 patients with a desire for pregnancy treated with discoid excision for colorectal endometriosis in our endometriosis expert center between January 2015 and August 2020 were selected from our prospectively maintained database. Indications for surgery were either infertility and / or pelvic pain. Postoperative complications were graded according to the Clavien-Dindo classification. Fertility outcomes, both spontaneous and post-ART pregnancies, were analyzed. Results: Among the 49 patients who underwent discoid excision exclusively (no other digestive resection) with a desire to conceive, 25 had a pregnancy after surgery and 24 did not. Double discoid excision was performed in 6.1 % of the cases (3/49). A colpectomy was performed in 12.2 % of the patients (6/49), and a protective stoma in 12.2 % (6/49). Fenestration of endometriomas was performed in 28.6 % of the patients (14/49), and parametrectomy in 40.8 % (20/49). The postoperative complication rate was 24.5 % (12/49) including 10.2 % (5/49) grade I, 12.2 % (6/49) grade II, and 2 % (1/49) grade III. Prior to surgery, 28 (57.1 %) patients had infertility including 13 (52 %) that successfully conceived following surgery and 15 (62.5 %) that remain infertile. Spontaneous pregnancy was achieved in 60 % (15/25) of infertile patients' prior surgery. The live-birth rate in patients conceiving spontaneously was 75 % (12/16). Conclusion: Our results support that discoid excision is safe and associated with good fertility outcomes. Whether first-line surgery using discoid excision is superior to first-line ART remains to be determined.
MeSH term(s)	Pregnancy ; Female ; Humans ; Endometriosis/complications ; Endometriosis/surgery ; Rectal Diseases/surgery ; Rectal Diseases/complications ; Fertility ; Infertility, Female/surgery ; Infertility, Female/complications ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Colorectal Neoplasms/complications
Language	English
Publishing date	2024-01-09
Publishing country	France
Document type	Journal Article
ISSN	2468-7847
ISSN (online)	2468-7847
DOI	10.1016/j.jogoh.2024.102723
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Article: Correction: Dabi et al. Clues for Improving the Pathophysiology Knowledge for Endometriosis Using Plasma Micro-RNA Expression.

Dabi, Yohann / Suisse, Stéphane / Jornea, Ludmila / Bouteiller, Delphine / Touboul, Cyril / Puchar, Anne / Daraï, Emile / Bendifallah, Sofiane

Diagnostics (Basel, Switzerland)

2024 Volume 14, Issue 8

Abstract: In the original publication [ ... ]. ...

Abstract	In the original publication [...].
Language	English
Publishing date	2024-04-17
Publishing country	Switzerland
Document type	Published Erratum
ZDB-ID	2662336-5
ISSN	2075-4418
ISSN	2075-4418
DOI	10.3390/diagnostics14080829
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Article ; Online: Outcomes of discoid excision and segmental resection for colorectal endometriosis: robotic versus conventional laparoscopy.

Crestani, Adrien / Le Gac, Marjolaine / de Labrouhe, Éric / Touboul, Cyril / Bendifallah, Sofiane / Ferrier, Clément / Dabi, Yohann / Darai, Emile

Journal of robotic surgery

2024 Volume 18, Issue 1, Page(s) 87

Abstract: Surgery for deep endometriosis with colorectal involvement is an option after medical treatment failure. Over the past decade, robotic laparoscopy has emerged as an alternative to conventional laparoscopy. We aimed to evaluate surgical outcomes of ... ...

Abstract	Surgery for deep endometriosis with colorectal involvement is an option after medical treatment failure. Over the past decade, robotic laparoscopy has emerged as an alternative to conventional laparoscopy. We aimed to evaluate surgical outcomes of robotic versus conventional laparoscopy for discoid excision and segmental resection. From 2019 to 2023, we conducted a retrospective cohort study of 152 consecutive patients with colorectal endometriosis who underwent robotic or conventional laparoscopy for discoid excision and colorectal resection. Ninety of the patients 152 underwent robotic surgery and 62 conventional laparoscopy. The mean total surgical room occupancy and operating times were longer in the robotic group: 270 ± 81 min vs 240 ± 79 min, p = 0.010, and 216 ± 78 min vs 190 ± 76, p = 0.027, respectively. The mean intraoperative blood loss, and the incidence of intra- and postoperative complications (according to Clavien-Dindo classification) were similar in the two groups. The mean hospital stay was greater after conventional laparoscopy (8 ± 5 vs 7 ± 4 days; p = 0.03), and the rate of persistent voiding dysfunction was higher in the conventional group (9/11, 25% vs 2/11, 5%; p = 0.01). A higher incidence of persistent voiding dysfunction was also observed after segmental resection by conventional laparoscopy (25% vs 4.8%, p = 0.01). Our results support the use of robotic surgery as an alternative to conventional laparoscopy for discoid excision and segmental resection for colorectal endometriosis.
MeSH term(s)	Female ; Humans ; Robotic Surgical Procedures/methods ; Endometriosis/surgery ; Retrospective Studies ; Laparoscopy ; Colorectal Neoplasms
Language	English
Publishing date	2024-02-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2268283-1
ISSN	1863-2491 ; 1863-2483
ISSN (online)	1863-2491
ISSN	1863-2483
DOI	10.1007/s11701-024-01854-5
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Article ; Online: MRI of intestinal endometriosis.

Bazot, Marc / Kermarrec, Edith / Bendifallah, Sofiane / Daraï, Emile

Best practice & research. Clinical obstetrics & gynaecology

2020 Volume 71, Page(s) 51–63

Abstract: Endometriosis is a common gynecological condition of unknown etiology, which mainly affects women of reproductive age. The commonest site of gastrointestinal endometriosis is the rectosigmoid colon. Involvement of the sigmoid, cecum, appendix, and small ... ...

Abstract	Endometriosis is a common gynecological condition of unknown etiology, which mainly affects women of reproductive age. The commonest site of gastrointestinal endometriosis is the rectosigmoid colon. Involvement of the sigmoid, cecum, appendix, and small bowel are less common, but one third of rectosigmoid endometriosis is associated with right-sided extra-pelvic bowel endometriosis. Intestinal endometriosis represents one of the most severe forms of deep endometriosis (DE). Magnetic resonance imaging (MRI) is recommended as a second-line technique in the preoperative workup of DE, especially for gastrointestinal endometriosis. An optimal MRI protocol is required for a complete mapping of endometriotic lesions. MRI could be used as a triage test in the diagnosis of rectosigmoid colon endometriosis. Magnetic resonance enterography should be additionally performed requiring a specific additional MRI protocol for the evaluation of multicentric intestinal endometriotic lesions. Except other imaging techniques, the aim of this chapter is to expose indications for MRI, technical requirements, patient preparation, MRI protocols, and criteria for the diagnosis of intestinal endometriosis.
MeSH term(s)	Endometriosis/diagnostic imaging ; Endometriosis/surgery ; Female ; Humans ; Magnetic Resonance Imaging ; Pelvis ; Rectum
Language	English
Publishing date	2020-06-14
Publishing country	Netherlands
Document type	Journal Article ; Review
ZDB-ID	2050090-7
ISSN	1532-1932 ; 1521-6934
ISSN (online)	1532-1932
ISSN	1521-6934
DOI	10.1016/j.bpobgyn.2020.05.013
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Article ; Online: Imaging of ovarian cancers.

Campos, Audrey / Villermain-Lécolier, Camille / Bazot, Marc / Bendifallah, Sofiane / Touboul, Cyril / Thomassin-Naggara, Isabelle

La Revue du praticien

2022 Volume 72, Issue 6, Page(s) 608–617

Abstract: IMAGING OF OVARIAN CANCERS Imaging of ovarian lesions is based on the triptych: pelvic ultrasound with Doppler, magnetic resonance imaging (MRI) and computed tomography (CT). Endovaginal pelvic ultrasound is the first-line examination; tools are ... ...

Title translation	Imagerie dans les cancers de l'ovaire.
Abstract	IMAGING OF OVARIAN CANCERS Imaging of ovarian lesions is based on the triptych: pelvic ultrasound with Doppler, magnetic resonance imaging (MRI) and computed tomography (CT). Endovaginal pelvic ultrasound is the first-line examination; tools are available to help with its interpretation (IOTA group rules, O-RADS US classification). When an ovarian mass is detected on ultrasound and if its characterization is «undetermined» or complex, MRI with perfusion sequences is used to clarify the criteria. Finally, a thoraco- abdominopelvic CT scan is necessary for extension assessment in the case of ovarian cancer, in particular to look for peritoneal carcinosis and to anticipate surgical difficulties.
MeSH term(s)	Carcinoma, Ovarian Epithelial/pathology ; Carcinoma, Ovarian Epithelial/surgery ; Female ; Humans ; Magnetic Resonance Imaging ; Ovarian Cysts ; Ovarian Neoplasms/diagnostic imaging ; Ovarian Neoplasms/therapy ; Tomography, X-Ray Computed ; Ultrasonography
Language	French
Publishing date	2022-07-28
Publishing country	France
Document type	Journal Article
ZDB-ID	205365-2
ISSN	2101-017X ; 0035-2640
ISSN (online)	2101-017X
ISSN	0035-2640
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Article: Insight on Non-Coding RNAs from Biofluids in Ovarian Tumors.

Dabi, Yohann / Favier, Amélia / Razakamanantsoa, Léo / Delbos, Léa / Poilblanc, Mathieu / Descamps, Philippe / Golfier, Francois / Touboul, Cyril / Bendifallah, Sofiane / Daraï, Emile

Cancers

2023 Volume 15, Issue 5

Abstract: Ovarian tumors are the most frequent adnexal mass, raising diagnostic and therapeutic issues linked to a large spectrum of tumors, with a continuum from benign to malignant. Thus far, none of the available diagnostic tools have proven efficient in ... ...

Abstract	Ovarian tumors are the most frequent adnexal mass, raising diagnostic and therapeutic issues linked to a large spectrum of tumors, with a continuum from benign to malignant. Thus far, none of the available diagnostic tools have proven efficient in deciding strategy, and no consensus exists on the best strategy between "single test", "dual testing", "sequential testing", "multiple testing options" and "no testing". In addition, there is a need for prognostic tools such as biological markers of recurrence and theragnostic tools to detect women not responding to chemotherapy in order to adapt therapies. Non-coding RNAs are classified as small or long based on their nucleotide count. Non-coding RNAs have multiple biological functions such as a role in tumorigenesis, gene regulation and genome protection. These ncRNAs emerge as new potential tools to differentiate benign from malignant tumors and to evaluate prognostic and theragnostic factors. In the specific setting of ovarian tumors, the goal of the present work is to offer an insight into the contribution of biofluid non-coding RNAs (ncRNA) expression.
Language	English
Publishing date	2023-02-28
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2527080-1
ISSN	2072-6694
ISSN	2072-6694
DOI	10.3390/cancers15051539
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Article: Value of non-coding RNAs to assess lymph node status in cervical cancer.

Dabi, Yohann / Favier, Amelia / Razakamanantsoa, Léo / Suisse, Stéphane / Marie, Yannick / Touboul, Cyril / Ferrier, Clément / Bendifallah, Sofiane / Daraï, Emile

Frontiers in oncology

2023 Volume 13, Page(s) 1144672

Abstract: Cervical cancer (CC) is the fourth cancer in women and is the leading cause of cancer death in 42 countries. Lymph node metastasis is a determinant prognostic factor, as underlined in the latest FIGO classification. However, assessment of lymph node ... ...

Abstract	Cervical cancer (CC) is the fourth cancer in women and is the leading cause of cancer death in 42 countries. Lymph node metastasis is a determinant prognostic factor, as underlined in the latest FIGO classification. However, assessment of lymph node status remains difficult, despite the progress of imaging such as PET-CT and MRI. In the specific setting of CC, all data underlined the need for new biomarkers easily available to assess lymph node status. Previous studies have underlined the potential value of ncRNA expression in gynecological cancers. In this review, we aimed to evaluate the contribution of ncRNAs in tissue and biofluid samples to determine lymph node status in CC with potential impact on both surgical and adjuvant therapies. In tissue samples, our analysis found that there are arguments to support the role of ncRNAs in physiopathology, differential diagnosis from normal tissue, preinvasive and invasive tumors. In biofluids, despite small studies especially concerning miRNAs expression, promising data opens up new avenue to establish a non-invasive signature for lymph node status as well as a tool to predict response to neo- and adjuvant therapies, thus improving management algorithm of patients with CC.
Language	English
Publishing date	2023-05-10
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2023.1144672
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Article ; Online: ENDOGRADE: A four level classification to rate surgical complexity in endometriosis.

Crestani, Adrien / Dabi, Yohann / Bendifallah, Sofiane / Kolanska, Kamila / Buffet, Nathalie Chabbert / Thomassin-Naggara, Isabelle / Darai, Emile / Touboul, Cyril

Journal of gynecology obstetrics and human reproduction

2023 Volume 52, Issue 8, Page(s) 102632

Abstract: Objectives: We studied a post operative classification of surgical complexity in endometriosis.: Study design: Retrospective monocentric observational study was conducted between January 2001 to December 2019 and included 764 women with DE that ... ...

Abstract	Objectives: We studied a post operative classification of surgical complexity in endometriosis. Study design: Retrospective monocentric observational study was conducted between January 2001 to December 2019 and included 764 women with DE that underwent surgery. We retrospectively graded surgical complexity through operative reports according to the ENDOGRADE classification, that grades the surgical complexity of DE in four progressive levels. Results: Operating time was longer for patients rated ENDOGRADE 3 (228±93 min) compared to patients rated ENDOGRADE 2 (120± 51 min) (p<10 Conclusion: ENDOGRADE classification of surgical complexity in DE is correlated to operating time, per- and post-operative complications.
MeSH term(s)	Humans ; Female ; Endometriosis/surgery ; Endometriosis/complications ; Retrospective Studies ; Intraoperative Complications/etiology ; Postoperative Complications/etiology ; Multivariate Analysis
Language	English
Publishing date	2023-07-19
Publishing country	France
Document type	Observational Study ; Journal Article
ISSN	2468-7847
ISSN (online)	2468-7847
DOI	10.1016/j.jogoh.2023.102632
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Article ; Online: Changes in hospital consumption of opioid and non-opioid analgesics after colorectal endometriosis surgery.

Crestani, Adrien / Bibaoune, Amine / Le Gac, Marjolaine / Dabi, Yohann / Kolanska, Kamila / Ferrier, Clément / Bendifallah, Sofiane / Touboul, Cyril / Darai, Emile

Journal of robotic surgery

2023 Volume 17, Issue 6, Page(s) 2703–2710

Abstract: The aim of this study was to analyze postoperative consumption of analgesics during hospitalization following colorectal surgery for endometriosis. We conducted a retrospective study at Tenon University Hospital, Paris, France from February 2019 to ... ...

Abstract	The aim of this study was to analyze postoperative consumption of analgesics during hospitalization following colorectal surgery for endometriosis. We conducted a retrospective study at Tenon University Hospital, Paris, France from February 2019 to December 2021. One hundred sixty-two patients underwent colorectal surgery: eighty-nine (55%) by robotic and seventy-three (45%) by conventional laparoscopy. The type of procedure had an impact on acetaminophen and nefopam consumed per day: consumption for colorectal shaving, discoid resection, and segmental resection was, respectively, 2(0.5), 2.1(0.6), 2.4(0.6) g/day (p = 10-3), and 25(7), 30(14), 31(11) mg/day (p = 0.03). The total amount of tramadol consumed was greater following robotic surgery compared with conventional laparoscopy (322(222) mg vs 242(292) mg, p = 0.04). We observed a switch in analgesic consumption over the years: tramadol was used by 70% of patients in 2019 but only by 7.1% in 2021 (p < 10-3); conversely, ketoprofen was not used in 2019, but was consumed by 57% of patients in 2021 (p < 10-3). A history of abdominal surgery (OR = 0.37 (0.16-0.78, p = 0.011) and having surgery in 2020 rather than in 2019 (OR = 0.10 (0.04-0.24, p < 10
MeSH term(s)	Female ; Humans ; Analgesics, Non-Narcotic/therapeutic use ; Analgesics, Opioid/therapeutic use ; Endometriosis/surgery ; Nefopam ; Retrospective Studies ; Tramadol/therapeutic use ; Colorectal Surgery ; Rectal Diseases/surgery ; Treatment Outcome ; Robotic Surgical Procedures/methods ; Hospitals, University ; Colorectal Neoplasms ; Pain, Postoperative/drug therapy
Chemical Substances	Analgesics, Non-Narcotic ; Analgesics, Opioid ; Nefopam (4UP8060B7J) ; Tramadol (39J1LGJ30J)
Language	English
Publishing date	2023-08-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2268283-1
ISSN	1863-2491 ; 1863-2483
ISSN (online)	1863-2491
ISSN	1863-2483
DOI	10.1007/s11701-023-01691-y
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Article ; Online: Resolution of Pain after Percutaneous Image-Guided Cryoablation of Extraperitoneal Endometriosis.

Najdawi, Milan / Razakamanantsoa, Leo / Mousseaux, Cyril / Bendifallah, Sofiane / Touboul, Cyril / Thomassin-Naggara, Isabelle / Bazot, Marc / Barral, Matthias / Cornelis, Francois H

Journal of vascular and interventional radiology : JVIR

2023 Volume 34, Issue 7, Page(s) 1192–1198

Abstract: Purpose: To retrospectively evaluate the relief of pain after percutaneous image-guided cryoablation of symptomatic extraperitoneal endometriosis (EE).: Material and methods: From 2017 to 2022, cryoablation of EE was performed at a single institution ...

Abstract	Purpose: To retrospectively evaluate the relief of pain after percutaneous image-guided cryoablation of symptomatic extraperitoneal endometriosis (EE). Material and methods: From 2017 to 2022, cryoablation of EE was performed at a single institution on a total of 47 lesions in 42 consecutive patients (median age, 37 years; interquartile range [IQR], 33-39.5 years). Patient and procedural characteristics were reviewed retrospectively. Tolerance and outcomes in terms of pain and patient satisfaction were evaluated. Results: The median follow-up duration was 13.5 months (IQR, 1.1-37.7 months) after cryoablation. The median pain-free survival rate was 93.8% (95% confidence interval [CI], 77.3-98.4) at 6 months and 82.7% (95% CI, 58.8-93.5) after 12 months. Pain decreased from a median of 8/10 (IQR, 7-9) on the visual analog scale to 0/10 (IQR, 0-1) at the last follow-up (P < .0001). The median Patient Global Impression of Change score recorded at the last follow-up was 1/7 (IQR, 1-2). The efficacy rate of cryoablation to avoid secondary surgery was 92.8% (39/42) per patient and 93.6% (44/47) per nodule treated. Four patients (9.5%, 4/42) experienced an adverse event in the days following the procedure, and 1 patient (2%) experienced a severe adverse event. Conclusions: Percutaneous cryoablation is safe and effective in significantly reducing pain and obtaining local control of EE.
MeSH term(s)	Female ; Humans ; Adult ; Endometriosis/diagnostic imaging ; Endometriosis/surgery ; Endometriosis/etiology ; Cryosurgery/adverse effects ; Cryosurgery/methods ; Retrospective Studies ; Treatment Outcome ; Pain/etiology
Language	English
Publishing date	2023-03-30
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	1137756-2
ISSN	1535-7732 ; 1051-0443
ISSN (online)	1535-7732
ISSN	1051-0443
DOI	10.1016/j.jvir.2023.03.025
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