Endometriosis Management According to The Role of General Surgery in Comprehensive Surgical Care

Endometriosis Management According to The Role of General Surgery in Comprehensive Surgical Care Authors/Creators - 1. M.B.Ch.B., C.A.B.O.G.\ (Obstetrician and Gynecologist),Subspecialty Fellowship in Assisted Reproductive Technology / Arabic Board of Medical Specialisations Iraqi Ministry of Health, Basra Health Directorate, Basra Maternity Hospital, Infertility Center, Basra, Iraq - 2. M.B.Ch.B., D.G.O. \ (Obstetrician and Gynecologist) Iraqi Ministry of Health, Al-Rusafa Baghdad Health Directorate, Ibn Al-Baladi Children and Maternity Hospital, Baghdad, Iraq - 3. M.B.Ch.B., C.A.B.O.G., D.G.O. \ (Obstetrician and Gynecologist),Fellowship of the Arab Board in Obstetrics and Gynecology, Iraqi Ministry of Health, Wasit Health Directorate, Al-Suwaira General Hospital, Wasit, Iraq Description Background Multidisciplinary surgical care of endometriosis No adequate evidence exists on the multidisciplinary management of deep infiltrating endometriosis (DIE) with general surgery, even though the prevalence of the disease is significant (bowel 30%, ureter 13%/found The results of this study are assessed among 125 Iraqi patients receiving a broad-based treatment of general surgery, gynecology, urology, and colorectal surgery and Prospective/retrospective at a tertiary Center of Inclusion: history of known endometriosis and general surgery (bowel 38, ureteral 16, bladder 11, diaphragm 13) in which Results were assessed with VAS pain, EHP-30, EQ-5D, Clavien-Dindo morbidity. Further complication predictors were discovered by logistic regression multivariate (AUC 0.85), depending on results, Age 34.5±7.4 years; rASRM stage 3.2±0.9. Primary findings: VAS pelvic pain: 3.9 +2.1 (7.6- 3.7, p=0.0001), EHP-30 total: 24 +-12 (52-28, p=0.001), EQ- 5D: 3.919 +-0.14 (p=0.005). 145±55 min of operative time, 3.2±1.8 days of LOS, 15.2 2 (bowel leak 3.2). Logistic regression: BMI:25 OR 1.8[1.2-2.7], bowel involvement OR 2.2[1.4-3.5], pre-op VAS OR 1.5[1.1-2.1] (all p<0.01) and discovered Bowel DIE subgroup was more pain relief (-4.2 vs. multi-site -3.5, p=0.03) hence concluded Intensive experience in general surgery use in endometriosis treatment is related to significant symptom and quality of life. Files SJMSE-147-2026-28-34.pdf Files (764.3 kB) | Name | Size | Download all | |---|---|---| | md5:bd9cb53885a3f7fd809f97c0dcc43084 | 764.3 kB | Preview Download |