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Revista chilena de obstetricia y ginecología

On-line version ISSN 0717-7526


DURRUTY V, Guillermo; CELLE T, Claudia; ZAMBONI T, Milena  and  POMES C, Cristian. La cirugía laparoscópica por endometriosis profunda es efectiva en el manejo del dolor. Rev. chil. obstet. ginecol. [online]. 2016, vol.81, n.3, pp.189-193. ISSN 0717-7526.

Background: Deep infiltrating endometriosis (DIE) is a common cause of chronic pelvic pain which nega-tively affects the quality of life of patients. Laparoscopic surgery is the treatment of choice when patients are symptomatic. Objective: To evaluate laparoscopic surgery in the control of pain for DIE. Methods: We retrospectively studied all patients who underwent surgery for DIE in order to evaluate short and long term symptom relief. Results: Patients at 1 and 2 year follow-up referred 85% and 83% of symptomatic relief respectively. In patients with DIE specifically compromising the rectosigmoid colon this relief reached 89% and was stable after 2 year follow-up. Conclusion: Laparoscopic surgery is the treatment of choice for symptomatic DIE achieving significant symptomatic relief that is persistent over time. In ther hands of expert surgeons surgery for DIE is safe and it achieves satisfactory surgical results in terms of symptomatic remission with low mayor complication rates.

Keywords : Deep infiltrating endometriosis; chronic pelvic pain; rectovaginal endometriosis.

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