Long-term results of surgical treatment of patients with internal endometriosis of the uterus

This study provides a comparative assessment of long-term outcomes, specifically after seven to ten years, for sixty patients treated surgically for internal uterine endometriosis. The results indicate that while the surgical intervention successfully prevented disease recurrence during this follow-up period, it was associated with a higher incidence of severe neurovegetative disturbances compared to conservative hormonal therapy. Additionally, patients who received conservative treatment exhibited higher concentrations of immunoglobulins A and M in their blood than those who underwent surgery. The authors conclude that the endocrine-metabolic and psycho-emotional complications arising from surgical treatment necessitate prolonged, phased rehabilitation under continuous dispensary observation. This paper is centrally about endometriosis — specifically focusing on the long-term efficacy and physiological consequences of surgical versus conservative management for adenomyosis (internal endometriosis of the uterus).

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