Long-Term Outcomes on Quality of Life in Women Submitted to Laparoscopic Treatment for Bowel Endometriosis

Silveira da Cunha Araújo R, Raquel Silveira da Cunha Araújo, Helizabet Salomão Abdalla Ayroza Ribeiro, Abdalla Ayroza Ribeiro HS, Vanessa Gozzo Sekula, Sekula VG, da Costa Porto BT, Beatriz Taliberti da Costa Porto, Paulo Ayroza Ribeiro, Ayroza Galvão Ribeiro PA, Paulo Augusto Ayroza Galvão Ribeiro
Journal of minimally invasive gynecology · 2014 · vol. 21(4) , pp. 682–688 · doi:10.1016/j.jmig.2014.02.005 · PMID:24530697 · W2130455534
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This study investigated the long-term quality of life outcomes for women undergoing laparoscopic treatment for bowel endometriosis.

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Abstract

Study objectiveTo evaluate the long-term effects of laparoscopic surgery on quality of life in women with bowel endometriosis.DesignObservational prospective cohort study (Canadian Task Force classification II).SettingCentral Hospital of Santa Casa, Sao Paulo, Brazil.PatientsForty-five patients answered a short-form, 36-item, quality-of-life questionnaire (SF-36) at 3 different times.InterventionsBetween June 2007 and September 2008, patients underwent laparoscopic surgery to treat deep infiltrative endometriosis, with colorectal resection.Measurements and main resultsForty-five patients with bowel endometriosis were followed up from 2007 to 2012. Before surgery, all patients exhibited signs suggestive of bowel endometriosis at magnetic resonance imaging and transrectal ultrasound. The patients underwent laparoscopic surgery for resection of the endometriosis lesions, including colorectal resection. The patients completed the questionnaire before surgery (T0), at 12 (T12) and 48 (T48) months after surgery. The 8 items of the SF-36 questionnaire at the different time points of application were compared. For each domain attribute, a score of 0 to 100 was assigned, where 0 signified the worst quality of life, and 100 the best. Statistical analysis was performed using analysis of variance. If differences were detected, multiple comparisons were performed using the Tukey test. Analysis of each domain revealed improved quality of life when comparing the period before surgery with 12 and 48 months after surgery. There was a significant increase (p < .001) in the scores in all of the SF-36 domains when comparing T0 vs T12 and T0 vs T48, with higher average scores at T48 corresponding to the domains of physical functioning, role physical, and social functioning (scores of 85.56, 75.69, and 73.61, respectively).ConclusionLaparoscopic treatment of bowel endometriosis improved the long-term quality of life of patients.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Rectal Diseases Adult Brazil Cohort Studies Colectomy Colonic Diseases Endometriosis Female Humans Laparoscopy Prospective Studies Quality of Life Rectal Diseases Surveys and Questionnaires Treatment Outcome

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