Endometriosis profunda infiltrante: seguimiento a un año luego de tratamiento laparoscópico Deep infiltrating endometriosis: one year of follow-up after laparoscopic treatment

Juan D. Castañeda, Luis A. Almanza, Juan Carlos Muñoz, Adriana Arango, José F De Los Ríos, Eduardo Serna, Gustavo A. Calle, Ricardo Vásquez
In: Revista Colombiana de Obstetricia y Ginecología, Vol 61, Iss 2, Pp 129-135 (2010) · 2010 · W244692087
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Laparoscopic treatment for deep infiltrating endometriosis significantly reduced painful symptoms in 24 patients over one year, with 12% experiencing recurrence and one complication reported.

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This cohort study evaluated the one-year evolution of 24 patients (ages 22–51) who underwent laparoscopic surgical treatment for deep infiltrating endometriosis at a gynecologic endoscopy unit in Medellín between September 2007 and February 2008. Researchers assessed sociodemographic factors, painful symptoms, anatomical locations and lesion characteristics, the surgical treatment and operative time, and complications. The only reported complication was a rectal lesion (4.1%), painful symptoms decreased significantly, but three patients (12%) experienced recurrences during the year of follow-up; the paper’s main limitation is its small, single-cohort design without a comparator group. This paper is centrally about endometriosis — it specifically follows patients treated laparoscopically for deep infiltrating endometriosis over one year.

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Abstract

Objetivo: conocer la evolución a un año de las pacientes a quienes se les ha realizado tratamiento quirúrgico laparoscópico de la endometriosis profunda infiltrante. Metodología: cohorte de 24 pacientes con edades comprendidas entre 22 y 51 años a quienes se les realizó tratamiento quirúrgico de la endometriosis profunda infiltrante en la Unidad de Endoscopia Ginecológica de la Clínica del Prado y Profamilia, en Medellín, entre septiembre del 2007 y febrero del 2008. Se evaluaron las variables sociodemográficas, síntomas dolorosos, localización anatómica de la endometriosis profunda infiltrante, características de la lesión, tratamiento, tiempo quirúrgico, complicaciones. Resultados: se presentó una lesión de recto como única complicación en esta serie (4,1%). Hubo una disminución estadísticamente significativa de los síntomas dolorosos. Tres pacientes (12%) tuvieron recurrencias al año de seguimiento. Conclusión: el tratamiento laparoscópico de la endometriosis profunda infiltrante surge como una alternativa para el tratamiento de la endometriosis infiltrativa profunda.Objective: making a one-year evaluation of the evolution of patients who underwent laparoscopic surgery for treating deep infiltrating endometriosis. Methodology: a cohort of twenty-four patients aged between 22 and 51 was included; they had had been diagnosed as suffering from deep infiltrating endometriosis. This took place in Clínica del Prado’s gynaecological endoscopy unit and in Profamilia in Medellín between September 2007 and February 2008. Minimally invasive treatment was undertaken with one-year follow-up. The following variables were evaluated: sociodemographic data, painful symptoms, anatomicallocalizationofdeepinfiltrating endometriosis, lesion characteristics, surgical treatment, surgical time and complications. Results: colonic lesion was the only complication reported in this series (4.1%). There was a statistically significant reduction in painful symptoms. Three patients (12%) suffered recurrences during the year-long follow-up. Conclusions: laparoscopic treatment of deep infiltrating endometriosis is an option which alleviates the painful symptoms of endometriosis.
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Revista Colombiana de Obstetricia y Ginecología (Jun 2010) Endometriosis profunda infiltrante: seguimiento a un año luego de tratamiento laparoscópico Deep infiltrating endometriosis: one year of follow-up after laparoscopic treatment Abstract Objetivo: conocer la evolución a un año de las pacientes a quienes se les ha realizado tratamiento quirúrgico laparoscópico de la endometriosis profunda infiltrante. Metodología: cohorte de 24 pacientes con edades comprendidas entre 22 y 51 años a quienes se les realizó tratamiento quirúrgico de la endometriosis profunda infiltrante en la Unidad de Endoscopia Ginecológica de la Clínica del Prado y Profamilia, en Medellín, entre septiembre del 2007 y febrero del 2008. Se evaluaron las variables sociodemográficas, síntomas dolorosos, localización anatómica de la endometriosis profunda infiltrante, características de la lesión, tratamiento, tiempo quirúrgico, complicaciones. Resultados: se presentó una lesión de recto como única complicación en esta serie (4,1%). Hubo una disminución estadísticamente significativa de los síntomas dolorosos. Tres pacientes (12%) tuvieron recurrencias al año de seguimiento. Conclusión: el tratamiento laparoscópico de la endometriosis profunda infiltrante surge como una alternativa para el tratamiento de la endometriosis infiltrativa profunda.Objective: making a one-year evaluation of the evolution of patients who underwent laparoscopic surgery for treating deep infiltrating endometriosis. Methodology: a cohort of twenty-four patients aged between 22 and 51 was included; they had had been diagnosed as suffering from deep infiltrating endometriosis. This took place in Clínica del Prado’s gynaecological endoscopy unit and in Profamilia in Medellín between September 2007 and February 2008. Minimally invasive treatment was undertaken with one-year follow-up. The following variables were evaluated: sociodemographic data, painful symptoms, anatomicallocalizationofdeepinfiltrating endometriosis, lesion characteristics, surgical treatment, surgical time and complications. Results: colonic lesion was the only complication reported in this series (4.1%). There was a statistically significant reduction in painful symptoms. Three patients (12%) suffered recurrences during the year-long follow-up. Conclusions: laparoscopic treatment of deep infiltrating endometriosis is an option which alleviates the painful symptoms of endometriosis.

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