Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patients and Data Collection
2.2. Quality of Life Evaluation
2.3. Statistics
2.4. Ethics
3. Results
3.1. Global Population Results
3.2. Subgroup Analysis
4. Discussion
5. Prospects
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Studied Variables | Global Population n = 54 | CL n = 28 | RL n = 26 | p | ConservS n = 32 | TS n = 22 | p |
---|---|---|---|---|---|---|---|
Age (years) Median (min–max) | 35.5 (27.8–43.2) | 34 (27.5–37.5) | 36.5 (29.75–43.5) | 0.04 | 37 (29–39) | 34 (27.75–39) | 0.83 |
BMI (kg/m2) Median (min–max) | 23 (18.7–27.3) | 23 (21–29) | 23 (20.5–27.5) | 0.27 | 24.5 (21–28.25) | 21.5 (20–26.5) | 0.21 |
Pre-operative hormonal treatment (%) | 80 (43/54) | 78 (22/28) | 81 (21/26) | 1 | 72 (23/32) | 91% (20/22) | 0.16 |
Level 3 painkiller (%) | 20.4 (11/54) | 17.9 (5/28) | 26.9 (7/26) | 0.72 | 25 (8/32) | 18.18 (4/22) | 0.20 |
Prior surgery for endometriosis (%) | 11.1 (6/54) | 14.3 (4/28) | 7.7 (2/26) | 0.25 | 12.5 (4/32) | 9.1 (2/22) | 0.31 |
Hysterectomy (%) | 18.5 (10/54) | 0 (0/28) | 38.5 (10/26) | <0.001 | 9,4 (3/32) | 31.82 (7/21) | 0.04 |
Salpingectomy (%) | 11.1 (6/54) | 10.7 (3/28) | 11.5 (3/26) | 0.99 | 15.6 (5/32) | 4.55 (1/22) | 0.38 |
Ureterolysis (%) | 31.5 (17/54) | 28.6 (8/28) | 34.6 (9/26) | 0.83 | 25 (8/32) | 40.91 (9/22) | 0.36 |
Adhesiolysis (%) | 50 (27/54) | 64.3 (18/28) | 53.8 (9/26) | 0.43 | 71.9 (23/32) | 40.91 (9/22) | 0.02 |
USL resection (%) | 51.9 (28/54) | 39.3 (11/28) | 65.4 (17/26) | 0.03 | 21.9 (7/32) | 95.45 (21/22) | <0.001 |
Bladder node resection (%) | 16.7 (9/54) | 7.1 (5/28) | 7.7 (4/26) | 0.94 | 6.2 (2/32) | 9.09 (2/22) | 0.69 |
Superficial digestive node resection (%) | 18.5 (10/54) | 25 (7/28) | 26.9 (3/26) | 0.87 | 31.2 (10/32) | 18.18 (0/22) | 0.28 |
Studied Variables | Global Population n = 54 | CL n = 28 | RL n = 26 | ConservS n = 32 | TS n = 22 | p | |
---|---|---|---|---|---|---|---|
Post-operative hormonal treatment (%) | 31.5 | 25 (7/28) | 38 (10/26) | 0.38 | 34.3 (11/32) | 27.2 (6/22) | 0.77 |
Post-operative use of level 3 pain killer (%) | 30.7 (16/52) | 50 (7/28) | 32.14 (9/28) | 0.55 | 43.75 (14/32) | 22.72 (5/22) | 0.15 |
Pre-operative complications (%) | 2 (1/53) | 3.7 (1/27) | 0 (0/26) | 0.32 | 3.45 (1/28) | 0 (0/22) | 0.38 |
Post-operative complications (%) | 5.7 (3/52) | 7.69 (2/26) | 3.85 (1/26) | 0.55 | 6.45 (2/31) | 4.76 (1/21) | 0.8 |
Blood loss 400 (mL) | 0.02 (1/52) | 0 | 4.17 (1/24) | 0.33 | 3.85 (1/26) | 0 (0/22) | 0.41 |
Post-operative recurrence rate (%) | 11.1% (6/54) | 17.8 (5/28) | 3.8 (1/26) | 0.19 | 15.6 (5/32) | 4.5 (1/22) | 0.38 |
Complete surgery (%) | 40.7 | 17.8 (7/28) | 65.38 (15/26) | 0.04 | NA | NA | NA |
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Legendri, S.; Carbonnel, M.; Feki, A.; Moawad, G.; Aubry, G.; Vallée, A.; Ayoubi, J.-M. Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis. J. Clin. Med. 2022, 11, 6132. https://doi.org/10.3390/jcm11206132
Legendri S, Carbonnel M, Feki A, Moawad G, Aubry G, Vallée A, Ayoubi J-M. Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis. Journal of Clinical Medicine. 2022; 11(20):6132. https://doi.org/10.3390/jcm11206132
Chicago/Turabian StyleLegendri, Sophie, Marie Carbonnel, Anis Feki, Gaby Moawad, Gabrielle Aubry, Alexandre Vallée, and Jean-Marc Ayoubi. 2022. "Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis" Journal of Clinical Medicine 11, no. 20: 6132. https://doi.org/10.3390/jcm11206132
APA StyleLegendri, S., Carbonnel, M., Feki, A., Moawad, G., Aubry, G., Vallée, A., & Ayoubi, J. -M. (2022). Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis. Journal of Clinical Medicine, 11(20), 6132. https://doi.org/10.3390/jcm11206132