Analysis of factors that could affect symptomatic outcome in patients having laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centres

Investigate factors that influence quality of life after laparoscopic excision of deep rectovaginal endometriosis. A multicentre prospective cohort study involving 63 hospitals accredited as British Society for Gynaecological Endoscopy specialist endometriosis centres was conducted. The study popula...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2021-06, Vol.261, p.17-24
Main Authors: Byrne, D.L., Curnow, T.L., Vashisht, A., Clark, T.J.
Format: Article
Language:English
Subjects:
Endometriosis
Health status
Laparoscopy
Prognosis
Quality of life
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Summary:Investigate factors that influence quality of life after laparoscopic excision of deep rectovaginal endometriosis. A multicentre prospective cohort study involving 63 hospitals accredited as British Society for Gynaecological Endoscopy specialist endometriosis centres was conducted. The study population comprised of 8368 women who had undergone laparoscopic surgical excision of deep rectovaginal endometriosis requiring dissection of the pararectal space. The main outcome assessed was mean quality of life measured using the EuroQol 100 mm visual analogue score at 6 and 24 months after surgery according to potential prognostic factors. These factors included patient characteristics (age, smoking status, BMI), previous treatments for endometriosis, concomitant bowel surgery and surgical complications. Quality of life improved from a mean pre-operative score of 55/100 to 72/100 (p 
ISSN:0301-2115
1872-7654
DOI:10.1016/j.ejogrb.2021.04.007