Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery

Deep endometriosis (DE) occurs in 15-30% of patients with endometriosis and is associated with concomitant adenomyosis in around 25-49% of cases. There are no data about the effect of the presence of adenomyosis in terms of surgical outcomes and complications. Thus, the aim of the present study was...

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Autores: Gracia, Meritxell, Guirior, Cristian De, Valdés Bango, Marta, Rius, Mariona, Ros, Cristina, Matas, Isabel, Tortajada, Marta, Martínez Zamora, María Ángeles, Quintas, Lara, Carmona Herrera, Francisco
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/206277
Acceso en línea:https://hdl.handle.net/2445/206277
Access Level:acceso abierto
Palabra clave:Laparoscòpia
Endometriosi
Laparoscopy
Endometriosis
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spelling Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgeryGracia, MeritxellGuirior, Cristian DeValdés Bango, MartaRius, MarionaRos, CristinaMatas, IsabelTortajada, MartaMartínez Zamora, María ÁngelesQuintas, LaraCarmona Herrera, FranciscoLaparoscòpiaEndometriosiLaparoscopyEndometriosisDeep endometriosis (DE) occurs in 15-30% of patients with endometriosis and is associated with concomitant adenomyosis in around 25-49% of cases. There are no data about the effect of the presence of adenomyosis in terms of surgical outcomes and complications. Thus, the aim of the present study was to evaluate the impact of adenomyosis on surgical complications in women with deep endometriosis undergoing laparoscopic surgery. A retrospective cohort study including women referred to the endometriosis unit of a referral teaching hospital. Two expert sonographers preoperatively diagnosed DE and adenomyosis. DE was defined according to the criteria of the International Deep Endometriosis Analysis group. Adenomyosis was considered when 3 or more ultrasound criteria of the Morphological Uterus Sonographic Assessment group were present. Demographical variables, current medical treatment, symptoms, DE location, surgical time, hospital stay and difference in pre and post hemoglobin levels were collected. The Clavien-Dindo classification was used to assess surgical complications, and multivariate analysis was performed to compare patients with and without adenomyosis. 157 DE patients were included into the study; 77 (49.05%) had adenomyosis according to transvaginal ultrasound (TVS) and were classified in the A group, and 80 (50.95%) had no adenomyosis and were classified in the noA group. Adenomyosis was associated with a higher rate of surgical complications: 33.76% (A group) vs. 12.50% (noA group) (p?<?0.001). Multivariate analysis showed a 4.56-fold increased risk of presenting complications in women with adenomyosis (CI 1.90-11.30; p?=?0.001) independently of undergoing hysterectomy. There was a statistically significant association between the number of criteria of adenomyosis present in each patient and the proportion of patients presenting surgical complications (p?<?0.001). Adenomyosis is an independent preoperative risk factor for surgical complications in DE surgery after adjustment for known demographic, clinical and surgical risk factors.© 2022. The Author(s).Springer Nature2024202420222023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion8 p.application/pdfhttps://hdl.handle.net/2445/206277Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1038/s41598-022-11179-8Scientific Reports, 2022, vol. 12, num. 7086https://doi.org/10.1038/s41598-022-11179-8cc by (c) Gracia, Meritxell et al., 2022http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2062772026-05-29T05:05:01Z
dc.title.none.fl_str_mv Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery
title Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery
spellingShingle Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery
Gracia, Meritxell
Laparoscòpia
Endometriosi
Laparoscopy
Endometriosis
title_short Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery
title_full Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery
title_fullStr Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery
title_full_unstemmed Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery
title_sort Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery
dc.creator.none.fl_str_mv Gracia, Meritxell
Guirior, Cristian De
Valdés Bango, Marta
Rius, Mariona
Ros, Cristina
Matas, Isabel
Tortajada, Marta
Martínez Zamora, María Ángeles
Quintas, Lara
Carmona Herrera, Francisco
author Gracia, Meritxell
author_facet Gracia, Meritxell
Guirior, Cristian De
Valdés Bango, Marta
Rius, Mariona
Ros, Cristina
Matas, Isabel
Tortajada, Marta
Martínez Zamora, María Ángeles
Quintas, Lara
Carmona Herrera, Francisco
author_role author
author2 Guirior, Cristian De
Valdés Bango, Marta
Rius, Mariona
Ros, Cristina
Matas, Isabel
Tortajada, Marta
Martínez Zamora, María Ángeles
Quintas, Lara
Carmona Herrera, Francisco
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Laparoscòpia
Endometriosi
Laparoscopy
Endometriosis
topic Laparoscòpia
Endometriosi
Laparoscopy
Endometriosis
description Deep endometriosis (DE) occurs in 15-30% of patients with endometriosis and is associated with concomitant adenomyosis in around 25-49% of cases. There are no data about the effect of the presence of adenomyosis in terms of surgical outcomes and complications. Thus, the aim of the present study was to evaluate the impact of adenomyosis on surgical complications in women with deep endometriosis undergoing laparoscopic surgery. A retrospective cohort study including women referred to the endometriosis unit of a referral teaching hospital. Two expert sonographers preoperatively diagnosed DE and adenomyosis. DE was defined according to the criteria of the International Deep Endometriosis Analysis group. Adenomyosis was considered when 3 or more ultrasound criteria of the Morphological Uterus Sonographic Assessment group were present. Demographical variables, current medical treatment, symptoms, DE location, surgical time, hospital stay and difference in pre and post hemoglobin levels were collected. The Clavien-Dindo classification was used to assess surgical complications, and multivariate analysis was performed to compare patients with and without adenomyosis. 157 DE patients were included into the study; 77 (49.05%) had adenomyosis according to transvaginal ultrasound (TVS) and were classified in the A group, and 80 (50.95%) had no adenomyosis and were classified in the noA group. Adenomyosis was associated with a higher rate of surgical complications: 33.76% (A group) vs. 12.50% (noA group) (p?<?0.001). Multivariate analysis showed a 4.56-fold increased risk of presenting complications in women with adenomyosis (CI 1.90-11.30; p?=?0.001) independently of undergoing hysterectomy. There was a statistically significant association between the number of criteria of adenomyosis present in each patient and the proportion of patients presenting surgical complications (p?<?0.001). Adenomyosis is an independent preoperative risk factor for surgical complications in DE surgery after adjustment for known demographic, clinical and surgical risk factors.© 2022. The Author(s).
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/206277
url https://hdl.handle.net/2445/206277
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1038/s41598-022-11179-8
Scientific Reports, 2022, vol. 12, num. 7086
https://doi.org/10.1038/s41598-022-11179-8
dc.rights.none.fl_str_mv cc by (c) Gracia, Meritxell et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Gracia, Meritxell et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 8 p.
application/pdf
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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