Journal de la grossesse et de la santé infantile

Abstrait

A National Snapshot of Hospitals Performing a High Volume of Endometriosis Procedures is Provided for Surgical Treatment of Endometriotic Women in France Who Intend to Become Pregnant

Shapit Singh

To give a brief overview of endometriosis surgery in high-activity centres in France Methods: Analysis of prospectively gathered data between November French surgical centres for endometriosis. Up to 40 patients could have laparoscopy for endometriosis at each site. Before and two months after surgery, data were gathered. Result. The study included 361 patients. At the month 2 visit, 27 patients were lost to follow-up. In 33.70% of patients, the endometriosis stage was I–II, and in 66.30%, it was III–IV. The most frequent procedure was uterosacral ligament resection, which was followed by rectal surgery, ovarian treatments for endometrioma, procedures for the ureters and bladder. Patients received anti-adhesion treatment. After surgery, a patient's hospital stay typically lasted days. Problems following surgery in 9.34% of patients were noted. Eight patients developed rectovaginal fistulae, one patient had a pelvic abscess, and one patient's bladder atony necessitated a second surgery after a median interval of 31 days. 95.09% of patients said they were satisfied or extremely satisfied with the operation two months following the procedure. According to our study, surgical management of endometriosis is primarily focused on women who present with severe disease and deep localizations, with a 10% overall risk of major complications and a high patient satisfaction rate.