Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women

Roberto Clarizia, Clarizia R, Tommaso Capezzuoli, Capezzuoli T, Ceccarello M, Matteo Ceccarello, Carlotta Zorzi, Zorzi C, Anna Stepniewska, Giovanni Roviglione, Roviglione G, Daniele Mautone, Mautone D, Petraglia F, Felice Petraglia, Marcello Ceccaroni
Journal of gynecology obstetrics and human reproduction · 2020 · vol. 50(3) , pp. 101811 · doi:10.1016/j.jogoh.2020.101811 · PMID:32433940 · W3024547811
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This study examined outcomes in 311 women treated laparoscopically for severe pelvic inflammatory disease, both with and without endometriosis.

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Abstract

OBJECTIVE: To study possible associations between endometriosis and pelvic inflammatory disease (PID). DESIGN: Retrospective cohort analysis over 14 consecutive years, based on medical records and insurance coding in a tertiary care endometriosis reference center. SETTING: Tertiary care reference center for endometriosis. PATIENTS: Retrospective analysis on all women submitted to laparoscopy in our Unit MAIN OUTCOME MEASURES: Intra-operative data about complications and fertility-impairing procedures, intra-, peri- and post-operative complications. INTERVENTIONS: Retrospective disease codes-triggered chart analysis. RESULTS: The study population was divided into two groups: Group 1 included women with PID and no endometriosis (n = 115); Group 2 included women with PID and endometriosis (n = 96). Endometriosis had a prevalence of 63 % in patients submitted to surgery for PID, significantly higher than the one reported in general population and than the one reported in a Tertiary Care Endometriosis Unit. A significantly higher number of salpingectiomes was needed in group 2 patients (208 versus 80, p < 0.0001). CONCLUSIONS: This study seems to confirm an higher prevalence of pelvic inflammatory disease in endometriosis patients. Intra-operative findings of PID with associated endometriosis show more aggressive patterns.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Laparoscopy Pelvic Inflammatory Disease Pelvic Inflammatory Disease Adolescent Adolescent Adult Adult Aged Aged Cohort Studies Cohort Studies Endometriosis Endometriosis Endometriosis Female Female Humans Humans

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