Montiel MRI, Contreras OJ, Brito SFC, Rodríguez RG, Benítez BJ

Language: Spanish
References: 12
Page: 145-148
PDF size: 172.84 Kb.

ABSTRACT

Objective: To evaluate the efficacy of radical laparoscopic surgery for dysmenorrhea relief in patients with stages III and IV endometriosis. Study design: Prospective cohort. Material and methods: Using the visual analogue pain scale (VAS), the severity of dysmenorrhea before surgery is compared with VAS score three months after surgery, in sixty-four women diagnosed with endometriosis stages III and IV, treated with radical laparoscopic surgery. Results: The average age of endometriosis diagnosis was 32.9 ± 7.7 years and the mean age when the surgery was performed was 35.6 ± 6.5 years, 35.9% of the women had stage III endometriosis surgical findings and 64% of them had stage IV endometriosis. The average trans-surgical bleeding was 155.6 ± 3.3 mL and the number of days of hospital stay were 2.09 ± 0.66. The mean VAS score for the severity of presurgical dysmenorrhea was 8.25 ± 0.89 and the 3-month postsurgical score was 2.06 ± 1.06, which was significantly lower (8.25 vs 2.06 points, p = 0.001), the score of the presurgical VAS versus the postsurgical VAS was reduced by a percentage of 74.4%. Conclusions: Laparoscopic surgery may offer relief or improvement of more than 70% in the majority of patients with dysmenorrhea secondary to stages III and IV endometriosis. These benefits seem greater postoperatively after three months.

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