J Laparoendosc Adv Surg Tech A. 2014 Mar;24(3):165-70. doi: 10.1089/lap.2013.0270.

Safety and Effect on Quality of Life of Laparoscopic Douglasectomy with Radical Excision for Deeply Infiltrating Endometriosis in the Cul-de-Sac.

Hong DG1, Kim JY, Lee YH, Chong GO, Cho YL, Lee YS.

Author information

Abstract

Abstract Objective: To evaluate the safety and effects on health-related quality of life (HRQOL) of radical excision of deeply infiltrating endometriosis (DIE) in the cul-de-sac. Patients and Methods: This study included 390 patients with pathologically proven DIE in the cul-de-sacwho underwent laparoscopic surgery between January 2000 and December 2011. The preoperative and postoperative visual analog scale (VAS) pain scores and HRQOL data from the 36-item Short Form (SF-36) questionnaire were recorded in 343 patients. Surgical outcomes, complications, and HRQOL were compared between patients who underwent hysterectomy and those who did not. Data were analyzed using the paired t test, Student's t test, and Pearson's correlation analysis. Results: In the group overall, the VAS pain score and all SF-36 scales improved after surgery. In patients who underwent hysterectomy, all SF-36 scales improved except physical functioning, role-physical, general health, and vitality. In patients who did not undergo hysterectomy, all SF-36 scales improved except general health. There were significant associations between gonadotropin-releasing hormone agonist therapy and SF-36 mental health, SF-36 mental component summary, and oral medication use. The VAS pain score and SF-36 body pain score showed the greatest improvement, and the SF-36 general health score showed the least improvement. Patients who underwent hysterectomy had more severe disease and poorer surgical outcomes than those who did not undergo hysterectomy. Conclusions: Laparoscopic radical excision of DIE in the cul-de-sac is safe and significantly improves HRQOL, especially in terms of pain. The severity of endometriosis may affect the degree of improvement in HRQOL scores.

PMID:

 

24625348

 

[PubMed - in process]

Susan Sarandon Speaks about her struggle with Endometriois

Happy New Year!

Hoping this is your year to shine! 

International Endometriosis Awareness Month

Media release from Endometriosis New Zealand
Endometriosis New Zealand
Friday 02 March 2012, 2:06PM

Media release from Endometriosis New Zealand

International Endometriosis Awareness month will be launched in New Zealand at the International Women's Day Breakfast on Thursday 8 March, at the Ellerslie International Flower Show. All proceeds from the event will be donated to support Endometriosis New Zealand.

Deborah Bush (QSM), Chief Executive of Endometriosis New Zealand, said "endometriosis was one of the last medical taboo's of modern society. Awareness was essential as the disease affects approximately 126,000 girls and women in New Zealand and an estimated 176 million women worldwide." She said "using these statistics, it would potentially out-number all those with breast cancer, prostate cancer, diabetes I & II and AIDS in the 15 - 49 age group." The organisation relies solely on donations and fundraising to run its national services and programmes.

Tickets to the breakfast are now on sale and can be purchased from www.360endo.eventbrite.com

Endometriosis Facts

• Endometriosis (pronounced 'end-oh-me-tree-oh-sis') is a common disease affecting one in ten New Zealand women and girls
• It creates major human and financial burdens for individuals, families, health and welfare services and facilities, schools and work-place productivity
• Evidence shows that girls and women experience a diagnostic delay of 8+ years from first presentation of symptoms to a doctor
• Women are frequently misdiagnosed and may have undergone unnecessary and expensive investigations
• There are approximately 126,000 girls and women with endometriosis in New Zealand
• Canterbury women, in particular, are more vulnerable than ever as stress often makes chronic pain and symptoms worse. The demand on the services of Endometriosis New Zealand are greater than ever, however the ability to respond to the demand has been compromised by losses incurred through the cancellation of fund raising events from damage incurred by the Canterbury earthquakes.

http://www.nzendo.co.nz/

http://www.nzdoctor.co.nz/un-doctored/2012/march-2012/02/international-endometriosis-awareness-month.aspx

Santorum pose to questions Obama's world’s view Christian’s faith ~ a world with no birth control pills ?

Santorum pose to questions Obama's world’s view Christian’s faith
http://www.examiner.com/public-policy-in-cincinnati/santorum-pose-to-questions-obama-s-world-s-view-christian-s-faith

Article exerpt
"There is an illness that attacks women that is called endometriosis which can be controlled by birth controlling attention.


Endometriosisis defined as a gynecological medical condition in which cells from the lining of the uterus (endometrium) appear and flourish outside the uterine cavity, most commonly on the ovaries.



The uterine cavity is lined by endometrial cells, which are under the influence of female hormones. These endometrial-like cells in areas outside the uterus (endometriosis) are influenced by hormonal changes and respond in a way that is similar to the cells found inside the uterus. Symptoms often worsen with the menstrual cycle.



Endometriosis is typically seen during the reproductive years; it has been estimated that endometriosis occurs in roughly 5 to 10% of women. Symptoms may depend on the site of active endometriosis. Its main but not universal symptom is pelvic pain in various manifestations. Endometriosis is a common finding in women with infertility. How can these politicians be so insensitive and unconcern?



Nonetheless, Santorum continues to defends himself as he tried to justify his action. In that broadcast interview he said; "I am talking about his world view, and the way he approaches problems in this country. I think they're different than how most people do in America.”

Female Sexual Function Improves After Lesion Surgery D.I.E.

Women with deep infiltrating endometriosis who undergo laparoscopic excision and postoperative combined oral contraceptive therapy have improved postoperative sexual function, according to a study published online Feb. 9 in The Journal of Sexual Medicine.


THURSDAY, Feb. 16 (HealthDay News) -- Women with deep infiltrating endometriosis (DIE) who undergo laparoscopic excision and postoperative combined oral contraceptive (COC) therapy have improved postoperative sexual function, according to a study published online Feb. 9 in The Journal of Sexual Medicine.

Mohamed Mabrouk, M.D., of the University of Bologna in Italy, and colleagues conducted a prospective study of 106 women with DIE to evaluate the impact of laparoscopic excision and postoperative COC therapy on sexual function.
Click link for full article: http://www.doctorslounge.com/index.php/news/pb/26819