Study population
In total 475 procedures were
registered. Nine cases were removed because of diagnostic procedures and
47 cases were removed because no deep endometriosis was present in
compartment A, B, C or F. This resulted in a total of 419 DE cases.
Baseline characteristics are presented in Table 1. The mean age of women
who underwent surgery was 35.3±6.5 years, with a median BMI of 24 (IQR
21-28) kg/m2. The majority of women had one or more
previous abdominal surgeries; 13% reported more than 2 procedures. The
primary indication for surgery were pain symptoms (82%).
Table 2 shows all classification types. Regarding the Enzian
classification, compartment A was involved in 110 cases (26.3%), with a
majority being A3 (55.5%). Compartment B was reported in 244 cases
(58.2%) on the left side and 229 cases (52.3%) on the right side. The
majority had a B2 severity (50.4% left and 53.7% right). Sacro-uterine
involvement was reported the most, and cardinal ligaments the least.
Compartment C was reported in 189 cases (45.1%), with the majority
having a C3 severity (55.6%). Adenomyosis (FA) was reported in 58% of
all cases, with a majority of the diffuse type (62.6%). Bladder (FB)
involvement was reported in 71 cases (16.9%). Intestinal involvement
(FI) was reported in 94 cases (22.4%), with 49.6% rectum involvement
cranial to the recto-sigmoid junction, appendix involvement in 33.6%,
ileocecal in 7.6%, coecum in 6.7% and ileum in 2.5% of the FI cases.
Ureteric involvement (FU left) was reported in 60 cases (14.3%), with
hydronephrosis in 6 cases (10%). FU on the right side was reported in
44 cases (10.5%), with 6 cases hydronephrosis (13.6%). Other Enzian
involvement (FO) was reported in 23 cases (5.5%), with 95.6% umbilical
and 4.3% diaphragmatic lesions.