{
    "abstract": "The purpose of this study was to evaluate the symptoms and wellbeing of patients who underwent laparoscopic colorectal resection for deep endometriosis infiltrating the rectum and/or colon in a single reference center.\nWe conducted a cross-sectional survey based on a structured questionnaire. All patients underwent laparoscopic discoid resection, segmental resection or shaving for deep endometriosis in a single reference center between October 2014 and October 2019. The following topics were addressed: symptoms related to endometriosis, fertility, disease recurrence and quality of life. The Institutional Review Board approved the study and signed informed consent was required before enrollment.\nA total of 77 of 160 (48.1%) subjects agreed to answer the questionnaire and were enrolled in the study. The mean age was 36.4\u00a0years (range, 24-54\u00a0years), and 45.5% of the patients had previously undergone surgery for deep endometriosis. Complete resolution of abdominal pain was observed in 48.1% of subjects after surgery. Pelvic pain was rated on a scale of 0 (no pain) to 10 (worst pain) before and after the procedure. In this evaluation, mean pain scores were reduced after surgery (9.21\u2009\u00b1\u20091.53\u2009\u00d7\u20093.99\u2009\u00b1\u20093.14; \nLaparoscopic surgery was associated with pain reduction and improved general wellbeing in patients diagnosed with deep endometriosis and bowel involvement.",
    "authors": [
        {
            "affiliation": "Department of Surgery and Anatomy, School of Medicine of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil.\nProctogastroclinic, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil.",
            "firstname": "Rog\u00e9rio Serafim",
            "initials": "RS",
            "lastname": "Parra"
        },
        {
            "affiliation": "Department of Surgery and Anatomy, School of Medicine of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil.\nProctogastroclinic, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil.",
            "firstname": "Marley Ribeiro",
            "initials": "MR",
            "lastname": "Feitosa"
        },
        {
            "affiliation": "Proctogastroclinic, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil.",
            "firstname": "Hugo Parra de",
            "initials": "HP",
            "lastname": "Camargo"
        },
        {
            "affiliation": "Department of Gynecology, School of Medicine of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil.\nFecundit\u00e1 Clinic, S\u00e3o Paulo, Brazil.",
            "firstname": "Fernando Passador",
            "initials": "FP",
            "lastname": "Val\u00e9rio"
        },
        {
            "affiliation": "Department of Gynecology, School of Medicine of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil.\nFecundit\u00e1 Clinic, S\u00e3o Paulo, Brazil.",
            "firstname": "Jos\u00e9 Vitor Cabral",
            "initials": "JVC",
            "lastname": "Zanardi"
        },
        {
            "affiliation": "Department of Surgery and Anatomy, School of Medicine of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil.\nProctogastroclinic, Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil.",
            "firstname": "Jos\u00e9 Joaquim Ribeiro da",
            "initials": "JJRD",
            "lastname": "Rocha"
        },
        {
            "affiliation": "Department of Surgery and Anatomy, School of Medicine of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil.",
            "firstname": "Omar",
            "initials": "O",
            "lastname": "F\u00e9res"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1080/0167482X.2020.1773785",
    "journal": "Journal of psychosomatic obstetrics and gynaecology",
    "keywords": [
        "Endometriosis",
        "colorectal surgery",
        "deep-infiltrating endometriosis",
        "laparoscopy",
        "psychological wellbeing"
    ],
    "methods": null,
    "publication_date": "2020-06-17",
    "pubmed_id": "32538257",
    "results": "A total of 77 of 160 (48.1%) subjects agreed to answer the questionnaire and were enrolled in the study. The mean age was 36.4\u00a0years (range, 24-54\u00a0years), and 45.5% of the patients had previously undergone surgery for deep endometriosis. Complete resolution of abdominal pain was observed in 48.1% of subjects after surgery. Pelvic pain was rated on a scale of 0 (no pain) to 10 (worst pain) before and after the procedure. In this evaluation, mean pain scores were reduced after surgery (9.21\u2009\u00b1\u20091.53\u2009\u00d7\u20093.99\u2009\u00b1\u20093.14; ",
    "title": "The impact of laparoscopic surgery on the symptoms and wellbeing of patients with deep infiltrating endometriosis and bowel involvement.",
    "xml": "<Element 'PubmedArticle' at 0x7885049c9210>"
}