Quality of life assessment in patients after surgical treatment for deep infiltrating endometriosis in the early postoperative period

Objective. To analyze the time course of changes in quality-of-life (QoL) indicators in patients after surgical treatment for deep infiltrating endometriosis (DIE) in the early postoperative period and to estimate QoL values at the time of hospital discharge. Subjects and methods. The investigation enrolled data on early postoperative QoL assessment in 62 women with deep infiltrating endometriosis who had been operated on for colorectal endometriosis at the Surgical Department, V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, in 2017 to 2018. The patients were divided into 3 groups according to the length of hospital stay. QoL was assessed in the patients during their stay in hospital, by using a modified QoL questionnaire for surgical patients. Results. The duration of a postoperative period is directly proportional to that of surgery and to the volume of intraoperative blood loss and inversely proportional to the age of patients. The overall early postoperative QoL score increased in all groups, reaching 75 to 80 scores on the day of discharge; however, patients in Group 1 achieved this result earlier than those in Groups 2 and 3. Analysis of the physical component of QoL demonstrated the same trend in the early postoperative period. The value of the emotional component throughout the postoperative period increased in all the groups; Group 3 demonstrated the greatest change in the value of the emotional component over time. The time course of changes in the social component of QoL and the overall assessment of one’s health could not allow reveal signif icant trends and patterns. Conclusion. The modified early postoperative QoL questionnaire can be used in patients after surgical treatment for DIE. The physical component is of the greatest importance in assessing QoL in the early postoperative period. QoL assessment used in the postoperative period can be the basis for discharge decision-making.

deep infiltrating endometriosis, surgical treatment, quality of life, early postoperative period