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2024, Number 2

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Rev Med UAS 2024; 14 (2)

Recurrence of dysmenorrhea in patients with peritoneal endometriosis treated with laparoscopic peritonectomy

López-Zepeda MA, Robles-López FM, López-de la Torre MA, MorganOrtiz F

Language: Spanish
References: 26
Page: 113-121
PDF size: 413.86 Kb.


ABSTRACT

Objective: Determine the effect of peritonectomy on pelvic pain in patients with endometriosis.
Patients and method: Prospective, longitudinal and observational study in patients with peritoneal endometriosis and pelvic pain undergoing peritonectomy at the Endometriosis Clinic of Excellence in Guadalajara, Jalisco. Pain intensity was evaluated using the visual analogue scale (VAS) before and 12 months after the procedure. The stage of the disease was also classified with ASRM and AAGL, and secondary variables such as pregnancies, evolution of dysmenorrhea, previous surgeries, medical management, duration of the procedure, blood loss and complications were analyzed.
Results: 213 procedures were performed, with a mean age of 32.9 years (range 15-54). Of the patients, 106 (49.8%) were married and 107 (50.2%) were single. Nuligpes were 147 (69.01%) and 46.4% of the patients were free of dysmenorrhea between 2 and 4 years after surgery. The disease stages were: rASM (I: 4.69%, II: 22.5%, III: 30.04%, IV: 42.7%) and AAGL (I: 4.69%, II: 14.55%, III: 16.43%, IV: 64.31%). Blood loss ranged from 10 to 700 ml, and the average surgical time was 177.5 minutes. The mean pain before and after surgery was 9.0 and 1.0, respectively, with an average reduction of 7.9 points on the VAS (p‹0.001).
Conclusions: Laparoscopic peritonectomy is effective in the management of peritoneal endometriosis, with a 46.4% absence of dysmenorrhea at 2 years and an average decrease of 7.9 points in pain intensity.


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