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Nomogram of Poupon et al for Predicting Complications After Surgery for Deep Endometriosis Without Bowel Involvement

Description

Poupon et al reported a nomogram for predicting complications following surgery for deep endometriosis without bowel involvement. This can help to identify a patient who may require more aggressive management. The authors are from Sorbonne University in France.


Patient selection: deep endometriosis without bowel involvement, from 15 to 55 years of age

 

Outcome: any Clavien-Dindo complications or voiding dysfunction lasting more than 1 month after surgery

 

Parameters:

(1) age in years from 15 to 55 years

(2) history of previous surgery for endometriosis

(3) risk group of ENZIAN classification

 

points for age =

= (1.5725 * (age)) - 23.5875

 

Parameter

Finding

Points

history of surgery

no

0

 

yes

78.2

ENZIAN risk group

low

0

 

intermediate

22.3

 

high

100

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 241

• The higher the score the greater the risk of complications.

 

Score

Risk of Complications After Surgery in Percent

< 24.9

< 5%

24.9 to 241

(0.0007573 * ((score)^2)) + (0.008592 * (score)) + 4.348

 


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