{
    "abstract": "This study addressed the improvement in the quality of life of patients 2 years after minimally invasive surgery for painful deep infiltrating endometriosis (DIE), evaluated with EHP-5 (Endometriosis Health Profile-5) scores and the intensity of dysmenorrhea and dyspareunia. This was a retrospective study, performed in a referral centre for endometriosis, between January 2010 and January 2019. EHP-5 scores were complete for 54 patients, and two subgroups were analysed: classic laparoscopy (CL) vs. robotic laparoscopy (RL), and conservative surgery (ConservS) vs. total surgery (TS). There was an important decrease in 2-year post-operative EHP-5 scores in the global population (pre-op: 61.36 (42.18\u221268.75) and 2-year post-op: 20.45 (0\u221238.06); p < 0.001). The Visual Analogic Scale (VAS) was also lower for dysmenorrhea (pre-op: 8 (7\u22129.75) vs. 2-year post-op: 3 (2\u22125.25); p < 0.001) and dyspareunia (pre-op: 6 (3.1\u22128.9) vs. 2-year post-op: 3 (0\u22126); p < 0.001). In the subgroup analysis, EHP-5 scores were improved in the RL group (pre-op: 65.9 (59.09\u221271.02) vs. 2-year post-op: 11.4 (0\u221238.06); p < 0.001) and the CL group (pre-op: 50 (34.65\u221268.18) vs. 2-year post-op: 27.27 (14.20\u221240.90); p < 0.001), with a slight advantage for RL (p = 0.04), and the same improvements were found for ConservS (pre-op: 61.4 (38.06\u221271.59) vs. 2-year post-op: 22.7 (11.93\u221238.07); p < 0.001) and TS groups (pre-op: 61.59 (51.70\u221268.75) vs. 2-year post-op: 13.63 (0\u221244.30); p < 0.001). Minimally invasive surgery improved the quality of life for DIE patients 2 years after surgery, and conservative surgery showed comparable results to total surgery.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynecology, Foch Hospital, 40 Rue Worth, 92150 Suresnes, France.\nMedical School, University of Versailles, Saint-Quentin-en-Yvelines, 55 Avenue de Paris, 78000 Versailles, France.",
            "firstname": "Sophie",
            "initials": "S",
            "lastname": "Legendri"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Foch Hospital, 40 Rue Worth, 92150 Suresnes, France.\nMedical School, University of Versailles, Saint-Quentin-en-Yvelines, 55 Avenue de Paris, 78000 Versailles, France.",
            "firstname": "Marie",
            "initials": "M",
            "lastname": "Carbonnel"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Cantonal Hospital Fribourg, 1702 Fribourg, Switzerland.",
            "firstname": "Anis",
            "initials": "A",
            "lastname": "Feki"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC 20037, USA.",
            "firstname": "Gaby",
            "initials": "G",
            "lastname": "Moawad"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Foch Hospital, 40 Rue Worth, 92150 Suresnes, France.",
            "firstname": "Gabrielle",
            "initials": "G",
            "lastname": "Aubry"
        },
        {
            "affiliation": "Department of Clinical Research and Innovation, Foch Hospital, 40 Rue Worth, 92150 Suresnes, France.",
            "firstname": "Alexandre",
            "initials": "A",
            "lastname": "Vall\u00e9e"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Foch Hospital, 40 Rue Worth, 92150 Suresnes, France.\nMedical School, University of Versailles, Saint-Quentin-en-Yvelines, 55 Avenue de Paris, 78000 Versailles, France.",
            "firstname": "Jean-Marc",
            "initials": "JM",
            "lastname": "Ayoubi"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.3390/jcm11206132\n10.1093/hropen/hoac009\n10.1016/j.fertnstert.2012.07.1061\n10.3390/ijerph17134683\n10.1093/humrep/det457\n10.1016/j.lpm.2017.09.006\n10.2217/whe.15.56\n10.1111/jog.14837\n10.1016/j.jmig.2020.08.015\n10.1016/j.jmig.2021.04.020\n10.3892/etm.2021.10718\n10.1016/j.tjog.2017.10.014\n10.1016/j.jgyn.2015.12.003\n10.1016/j.jmig.2013.11.010\n10.1023/B:QURE.0000021321.48041.0e\n10.1097/SLA.0b013e3181b13ca2\n10.1093/humrep/dex057\n10.1016/j.ajog.2018.12.039\n10.3109/0167482X.2015.1074173\n10.1016/j.gyobfe.2011.05.002\n10.1016/j.bpobgyn.2017.03.008\n10.4293/JSLS.2020.00091\n10.3389/fsurg.2016.00058\n10.1093/humrep/dex336\n10.1016/j.gofs.2018.02.003\n10.1016/j.gofs.2018.02.016\n10.1016/j.jmig.2019.09.791",
    "journal": "Journal of clinical medicine",
    "keywords": [
        "EPH-5",
        "conservative surgery",
        "endometriosis",
        "laparoscopy",
        "quality of life",
        "robotic-laparoscopy",
        "surgery",
        "total surgery"
    ],
    "methods": null,
    "publication_date": "2022-10-28",
    "pubmed_id": "36294462\n35350465\n22938769\n32610665\n24435778\n29129414\n26439119\n33998109\n32841755\n33964459\n34630638\n29241920\n28403962\n24295923\n15130031\n19638912\n28383700\n30625295\n26328618\n21742535\n28526229\n33879990\n27853733\n29194531\n29534879\n29526792\n31785416",
    "results": null,
    "title": "Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis.",
    "xml": "<Element 'PubmedArticle' at 0x788505926ac0>"
}