Original articleClinical and quality-of-life outcomes after fertility-sparing laparoscopic surgery with bowel resection for severe endometriosis
Section snippets
Materials and methods
The institutional human ethics committee granted approval for this study. All patients signed an informed consent for participation in the study. Between March and November 2003, seven consecutive patients undergoing laparoscopic colorectal surgery for intestinal endometriosis were recruited to this pilot study. Demographic data were collected before operation for presenting symptoms, menstrual history, reproductive history, and previous medical and surgical treatment for endometriosis. A team
Results
The study population consisted of seven patients with a median age of 30 years (range, 23–43 years) at the time of surgery (Table 1). All women were nulliparous, and four had primary infertility, defined as more than 12 months of regular, unprotected sexual intercourse without pregnancy. All patients had previously been diagnosed with histologically confirmed endometriosis requiring ablation or excision. Three patients had previously undergone laparoscopic surgery in this unit for primary
Discussion
The pain and quality of life outcomes of this study parallel the results of long-term studies of laparoscopic resection of endometriosis not involving bowel.9 Statistically significant improvements in dysmenorrhea and nonmenstrual pelvic pain, and reductions in dyspareunia and dyschezia, which were not statistically significant, confirm the effectiveness of laparoscopic resection of endometriosis involving bowel recently reported by others.10, 11 To date there has been no prospective study on
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