title: Does laparoscopic management of deep infiltrating endometriosis improve quality of life? A prospective study.
abstract: BACKGROUND
  Deep infiltrating endometriosis (DIE) can affect importantly patients' quality of life (QOL). The aim of this study is to evaluate the impact of the laparoscopic management of DIE on QOL after six months from treatment.
  
  
  METHODS
  It is a prospective cohort study. In a tertiary care university hospital, between April 2008 and December 2009, 100 patients underwent laparoscopic management of DIE and completed preoperatively and 6-months postoperatively a QOL questionnaire, the short form 36 (SF-36).Quality of life was measured through the SF-36 scores. Intra-operative details of disease site, number of lesions, type of intervention, period of hospital stay and peri-operative complications were noted.
  
  
  RESULTS
  Six months postoperatively all the women had a significant improvement in every scale of the SF-36 (p < 0,0005). Among patients with intestinal DIE, significant differences in postoperative scores of SF-36 were not detected between patients submitted to nodule shaving and segmental resection (p > 0.05). There was no significant difference in the SF-36 scores at 6 months from surgery between patients who received postoperative medical treatment and patients who did not (p > 0.05).
  
  
  CONCLUSIONS
  Laparoscopic excision of DIE lesions significantly improves general health and psycho-emotional status at six months from surgery without differences between patients submitted to intestinal segmental resection or intestinal nodule shaving.
authors: Minimally Invasive Gynaecological Surgery Unit, S.Orsola Hospital, University of Bologna, Italy.
authors: Mohamed
authors: M
authors: Mabrouk
authors: Giulia
authors: G
authors: Montanari
authors: Manuela
authors: M
authors: Guerrini
authors: Gioia
authors: G
authors: Villa
authors: Serena
authors: S
authors: Solfrini
authors: Claudia
authors: C
authors: Vicenzi
authors: Giuseppe
authors: G
authors: Mignemi
authors: Letizia
authors: L
authors: Zannoni
authors: Clarissa
authors: C
authors: Frasca
authors: Nadine
authors: N
authors: Di Donato
authors: Chiara
authors: C
authors: Facchini
authors: Simona
authors: S
authors: Del Forno
authors: Elisa
authors: E
authors: Geraci
authors: Giulia
authors: G
authors: Ferrini
authors: Diego
authors: D
authors: Raimondo
authors: Stefania
authors: S
authors: Alvisi
authors: Renato
authors: R
authors: Seracchioli
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010147:Pain Measurement; D011446:Prospective Studies; D011788:Quality of Life; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome