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to assess the impact of endometriosis in the course of women hospitalized due to PID. retrospective case-control study. tertiary referral center for endometriosis. women that were hospitalized due to PID between June January 1st 2021 to September 30st 2023. Patients with endometriosis were compared to patients without endometriosis. Diagnosis of endometriosis was suspected at the time of admission and confirmed with a subsequent ultrasound by an expert sonographer. a total of 132 patients aged between 18-50 were included. 35 women (26.5%) were diagnosed with endometriosis. Mean age in the endometriosis group was 37.2 (SD + 7.4) vs 31.9 (SD + 9.1) in the no endometriosis group. Women with endometriosis were more likely to experience a severe and complicated course of PID with longer duration of hospitalization (6.1 + 4.3 vs 4.3 + 2.4 days, p<0.05) and higher rate of antibiotic treatment failure (12/35 (34.2%) vs 18/97 (18.5%)) compared to patients without endometriosis. Readmission rate was higher in the endometriosis group (28.5% vs 8.1%, p<0.05) and they required more frequently surgical intervention (11.4% vs 6.1%). However, it did not reach statistical significance. A positive cervical or vaginal bacterial culture or polymerase chain reaction (PCR) for sexually transmitted disease (C. trachomatis, Mycoplasma or N. gonorrhoeae) was found to be significantly higher (34.9% vs 2.9%, p<0.05) in patients without endometriosis. according to our results, women with endometriosis are at increased risk for a severe course of PID compared with non-endometriosis patients, requiring more often longer hospitalization, adjustments in antibiotic treatment and urgent surgical intervention. Our results also suggest that PID in women with endometriosis is less likely to be caused by a sexually transmitted disease bacteria, thus, suggesting a different mechanism of pathogenesis. [ABSTRACT FROM AUTHOR]

Study Objective: We performed a long-term follow-up to quantify the impairment of sexual quality of life (SQL) and health-related QL (HRQL) in sexually active women after laparoscopic excision of deep infiltrating endometriosis (DIE)., Design: Prospective case-control study., Setting: Hospital Clinic of Barcelona., Patients: A total of 193 patients (after dropout and exclusions) were divided into 2 groups: one hundred twenty-nine premenopausal women with DIE (DIE group) and 64 healthy women who underwent tubal ligation (C group)., Interventions: All patients underwent laparoscopic surgery: laparoscopic endometriosis surgery in the DIE group and laparoscopic tubal ligation in the C group. All women were followed for at least 36 months, and they completed the Medical Outcomes Study 36-item short form questionnaire to assess their HRQL and 3 self-administered questionnaires that evaluate different aspects of SQL: the generic Sexual Quality of Life-Female questionnaire, the Female Sexual Distress Scale to evaluate "sexually related distress," and the Brief Profile of Female Sexual Function to screen hypoactive sexual desire disorder. The patients with DIE as well as the controls completed the 4 questionnaires before surgery, and the patients with DIE also completed the questionnaires at 6 and 36 months after surgery., Measurements and Main Results: A comparison of the patients and controls before surgery showed a statistically significant impairment in SQL and HRQL among the patients with DIE. A statistically significant improvement in SQL and HRQL was observed in the DIE group 6 months after surgery, with scores being similar to those of the C group. An evaluation 36 months after surgery showed that SQL and HRQL were better than presurgical SQL and HRQL in the DIE group, with a slight reduction compared with the 6-month evaluation., Conclusion: SQL and HRQL improved in patients with DIE undergoing complete laparoscopic endometriosis resection and were comparable to those of healthy women at 6 months after surgery, showing a slight reduction at 36 months of follow-up., (Copyright © 2021. Published by Elsevier Inc.)

Study Objective: To evaluate serial generation of microparticles (MPs) after laparoscopic stripping or CO 2 laser vaporization in the surgical treatment of patients with ovarian endometrioma (OE)., Design: A prospective, randomized, blinded, pilot study (Canadian Task Force classification I)., Setting: Tertiary care university hospital from December 2014 to July 2016., Patients: Thirty women with unilateral OE undergoing laparoscopic surgery., Intervention: Patients were randomly selected to undergo either CO 2 laser vaporization (L group) or laparoscopic stripping (S group) of OE., Measurements and Main Results: Blood samples were collected before surgery and at 2 hours, 24 hours, 1 month, and 3 months after surgery. An MP generation curve after OE surgery was created. MP generation was greater in the S group than in the L group at all time points evaluated. The MP generation curve showed a significantly higher area under the curve after excisional surgery (p <.05)., Conclusion: The higher MP levels in the S group suggest an increased inflammation and procoagulant response after this procedure., (Copyright © 2018. Published by Elsevier Inc.)

We compared the efficiency and safety of a newly developed reusable morcellator (Olympus VarioCarve) with that of a disposable morcellator (GyneCare Morcellex) for gynecologic laparoscopic surgery. In group 1 (n=15 patients; 11 myomectomies and 4 supracervical hysterectomies), the laparoscopic disposable morcellator was used, and in group 2 (n=14; 11 myomectomies and 3 supracervical hysterectomies), the reusable morcellator was used. There were no statistical differences in total tissue weight. Morcellating time was significantly shorter in group 2, and the rate of morcellation was significantly greater in group 2. Significantly fewer and longer pieces of tissue were removed with the reusable morcellator. No iatrogenic organ damage was observed.