Radical Laparoscopic Resection of Bowel Endometriosis: Long-Term Implications for Psychologic Well-Being

N Fritzer, J. Keckstein, A. Thomas, Gernot Hudelist
In: Journal of Gynecologic Surgery · 2012 · vol. 28(3) , pp. 183–187 · doi:10.1089/gyn.2011.0078 · W1989286166
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Radical laparoscopic resection of bowel endometriosis significantly improved psychologic well-being and reduced negative mood symptoms in patients with symptomatic disease.

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Abstract

Background: The aim of this study was to evaluate the long-term implications of laparoscopic radical resection of bowel endometriosis for psychologic health. Methods: One hundred and seventy-two symptomatic women with histologically verified and radically resected deep infiltrating endometriosis (DIE) of the bowel were retrospectively evaluated, using a self-administered questionnaire (10 items, 4-point Likert Scale) on pre- and postoperative psychologic health and well-being. Results: Seventy-five women met the stringent inclusion criteria. Using the Wilcoxon test, regarding feelings of physical exhaustion and lack of motivation, personal satisfaction, and lack of acceptance of one's own body, a change of median values was observed from 2.44 to 0.69 (p<0.001), 0.88 to 2.60 (p<0.001), and 1.95 to 0.53 (p<0.001), respectively. Furthermore, the sensation of depressed mood, loss of bodily control, general anxiety, lack of understanding, and loss of motivation for life were found to have decreased significantly from 2.03 to 0.68 (p<0.001), 1.69 to 0.32 (p<0.001), 2.09 to 0.60 (p<0.001), 1.60 to 0.60 (p<0.001), and 1.47 to 0.33 (p<0.001), respectively. Finally, an increase in the feeling of female identity (1.40 to 2.32; p<0.001) and quality of life (4.52 to 8.65; p<0.001) measured via a 10-point rating scale was observed following surgery. Conclusions: Resection of DIE significantly improves psychologic well-being and reduces negative mood symptoms in patients with symptomatic bowel endometriosis. (J GYNECOL SURG 28:183)

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endometriosisdie_deep_infiltratingbowel_endometriosis

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