Surgical treatment of endometriosis in private practice: cohort study with mean follow-up of 3 years

Journal of Minimally Invasive Gynecology
Jose Daniel Roman

Abstract

To describe our experience with surgical treatment of endometriosis. Observational cohort study (Canadian Task Force classification II-2). Private hospital. One hundred sixty-three patients with histologically confirmed endometriosis who had completed a preoperative questionnaire, had available intraoperative findings and photographic documentation, and had been followed up to 6 years. Laparoscopic electrosurgical excision of endometriotic implants. Patients completed a visual analogue scale (VAS) for 6 components of endometriosis-related symptoms. The EuroQol Group EQ-5D questionnaire was used for evaluation of quality of life. Long-term follow up was performed using a questionnaire and review of patient medical records. Mean (SD; 95% confidence interval) patient age at surgery was 31.01 (8.5; 29.7-32.3) years. The primary symptom at initial consultation was dysmenorrhea in 94 patients (57.67%, nonmenstrual pelvic pain in 44 (27%), dyspareunia in 11 (6.75%), menorrhagia in 8 (4.9%), infertility in 4 (2.45%), and pelvic mass in 2 (1.23%). Thirty-three patients (20%) had undergone previous surgery because of endometriosis. At surgery, endometriosis was stage I in 50 patients (30.67%), stage II in 65 (39.88%), stage III in 23 (14...Continue Reading

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Citations

Feb 18, 2014·Journal of Minimally Invasive Gynecology·Raquel Silveira da Cunha AraújoPaulo Augusto Ayroza Galvão Ribeiro
Sep 3, 2014·Human Reproduction Update·Nicolas BourdelMichel Canis
Jan 29, 2011·Medical Hypotheses·Yao Gong, Clemens B Tempfer
Oct 20, 2012·Journal of Ovarian Research·Shuang-Zheng JiaJing-He Lang
Sep 29, 2015·Archives of Gynecology and Obstetrics·Marcio Bezerra BarcellosRicardo Lasmar
Jan 11, 2019·PloS One·Nicolas BourdelMichel Canis
Jul 9, 2010·Current Opinion in Obstetrics & Gynecology·Xiaojing Dong, Zhu Yang
May 20, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Martin D LaguerreNash S Moawad
Jul 9, 2010·Current Opinion in Obstetrics & Gynecology

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