Rectal surgery for XXXX --should we be @entity146 ?

@entity1 @entity46 @entity158 @entity146
STUDY OBJECTIVE: To assess the outcome of @entity146 but conservative laparoscopic surgery in the treatment of severe @entity46 involving the rectum. DESIGN: Retrospective study (Canadian Task Force classification III). SETTING: Endosurgery unit of a tertiary referral center. @entity1 : One hundred sixty-nine @entity1 . INTERVENTION: Laparoscopy or laparotomy. MEASUREMENTS AND MAIN RESULTS: The procedure was completed successfully laparoscopically in 145 (86%) and by laparotomy in 24 @entity1 (14%). The rate of preoperative symptoms was higher in 25 @entity1 who underwent bowel resection compared with those who had other bowel surgery. In addition to bowel surgery, excision of uterosacral ligaments, adhesiolysis, excision of @entity46 , and oophorectomy were the four most commonly performed procedures. At 35-month follow-up 61 @entity1 (36%) required further surgery for @entity158 . The average time between primary and repeat surgery was 16 months. This second operation was performed by laparoscopy in over three-fourths of the @entity1 . Overall recurrent @entity46 was found in 26 @entity1 (15%). Overall morbidity associated with all surgery was 12.4%. CONCLUSION: Surgery for @entity46 and bowel involves some of the most difficult dissections encountered, but it can be accomplished successfully with the low postoperative morbidity typical of laparoscopy.
