Video-Based Assessment of Operative Complexity in Endometriosis: Associations of AAGL 2021, #Enzian, and rASRM Classifications with Operative Time and Advanced Surgical Procedures.

Median age was 39.0 years (IQR, 34.2-41.0), and median operative time was 115.0 minutes (IQR, 77.2-160.0).

In multivariable linear regression, the AAGL 2021 total score remained independently associated with operative time after adjustment for age and hemoglobin drop (β=1.44 minutes per point; 95% CI, 0.97-1.92; P<.001).

Each 10-point increase in AAGL score was associated with increased odds of undergoing any advanced surgical procedure (adjusted OR, 2.54; 95% CI, 1.69-3.81; P<.001).

For postoperative discrimination of any advanced procedure, the AUC was 0.875 (95% CI, 0.799-0.939) for AAGL 2021 and 0.803 (95% CI, 0.708-0.887) for rASRM (DeLong P=.022).