Does laparoscopic management of deep infiltrating endometriosis improve quality of life? A prospective study
Open accessAbstract
Background: Deep infiltrating endometriosis (DIE) can affect importantly patients' quality of life (QOL). The aim of this study is to evaluate the impact of the laparoscopic management of DIE on QOL after six months from treatment. Methods: It is a prospective cohort study. In a tertiary care university hospital, between April 2008 and December 2009, 100 patients underwent laparoscopic management of DIE and completed preoperatively and 6-months postoperatively a QOL questionnaire, the short form 36 (SF-36). Quality of life was measured through the SF-36 scores. Intra-operative details of disease site, number of lesions, type of intervention, period of hospital stay and peri-operative complications were noted. Results: Six months postoperatively all the women had a significant improvement in every scale of the SF-36 (p < 0,0005). Among patients with intestinal DIE, significant differences in postoperative scores of SF-36 were not detected between patients submitted to nodule shaving and segmental resection (p > 0.05). There was no significant difference in the SF-36 scores at 6 months from surgery between patients who received postoperative medical treatment and patients who did not (p > 0.05). Conclusions: Laparoscopic excision of DIE lesions significantly improves general health and psycho-emotional status at six months from surgery without differences between patients submitted to intestinal segmental resection or intestinal nodule shaving.
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Conservative surgery improves health-related quality of life in endometriosis.
“Conservative surgery improved HRQoL in endometriosis [26,32-34,36,38,39].”
From Health-related quality of life in women with endometriosis: a systematic review (2012) · cites this paper as [39]
Laparoscopic management of deep infiltrating endometriosis is associated with significant health-related quality of life improvement.
“With respect to deep infiltrating endometriosis, laparoscopic management was also associated with significant HRQoL improvement [39].”
From Health-related quality of life in women with endometriosis: a systematic review (2012) · cites this paper as [39]
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- Authors
- Mabrouk, M., Montanari, G., Guerrini, M., Villa, G., Solfrini, S., Vicenzi, C., Mignemi, G., Zannoni, L., Frasca, C., Di Donato, N., Facchini, C., Del Forno, S., Geraci, E., Ferrini, G., Raimondo, D., Alvisi, S., & Seracchioli, R.
- Affiliations
- IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
- Corresponding author
- Seracchioli, Renato
- ORCID
- Venue
- Health and Quality of Life Outcomes
- Published
- 2011-11-06
- Volume
- 9
- Issue
- 1
- Pages
- 98-98
- ISSN
- 1477-7525 (ISSN-L)
- PMC
- PMC3247061
- OpenAlex
- W2125470928
- Cited by
- 78
- References
- 54
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 5 · 2020: 2 · 2019: 5 · 2018: 8 · 2017: 5 · 2016: 5 · 2015: 14 · 2014: 12 · 2013: 4 · 2012: 5
- FWCI
- 7.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Health and Quality of Life Outcomes (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Keywords
- deep infiltrating endometriosis, laparoscopic surgery, quality of life, SF-36, intestinal endometriosis, segmentectomy, psychoemotional state
- MeSH terms
- Adult, Analysis of Variance, Endometriosis, Female, Humans, Pain Measurement, Laparoscopy, Prospective Studies, Quality of Life, Surveys and Questionnaires, Chi-Square Distribution, Treatment Outcome, Statistics, Nonparametric
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