Quality Indicators in Endometriosis Surgery

Abstract

Clinical outcomes in endometriosis surgery have improved in recent decades, largely due to the advancements made in the field of laparoscopy. Despite being classified as a benign disease, deep endometriosis has a tendency to deposit in close proximity to, or involve vital pelvic structures, thereby posing significant patient morbidity and surgical risk. Wide variations in clinical practice are observed in the management of endometriosis both surgically and holistically. Services for managing women suffering from endometriosis and chronic pelvic pain vary widely within countries and between continents. This chapter covers quality indicators of endometriosis surgery, mapped along the patient’s journey to help standardize and improve the quality of care delivered. Quality indicators have been established for the following: Standards of endometriosis specialist centers, the multidisciplinary team, preoperative planning and patient counseling, the consent process, perioperative considerations, postoperative care, risk management and clinical governance.