Fertility after colorectal resection for endometriosis: results of a prospective study comparing laparoscopy with open surgery

Émile Daraï, Daraï E, Emile Daraï, Bénédicte Lesieur, Lesieur B, Benedicte Lesieur, Gil Dubernard, Dubernard G, Roman Rouzier, Bazot M, Marc Bazot, Marcos Ballester, Ballester M
Fertility and sterility · 2011 · vol. 95(6) , pp. 1903–1908 · doi:10.1016/j.fertnstert.2011.02.018 · PMID:21392746 · W2067363694
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This prospective study investigated fertility rates following colorectal resection for endometriosis, comparing outcomes between laparoscopic and open surgical approaches.

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Abstract

ObjectiveTo determine whether the surgical route of colorectal resection for endometriosis is a determinant factor for fertility.DesignProspective study.SettingTertiary-care university hospital.Patient(s)Fifty-two patients with endometriosis were randomly assigned to laparoscopic or open surgery.Intervention(s)Laparoscopically assisted vs. open colorectal resection.Main outcome measure(s)Evaluation of fertility outcomes spontaneously and after assisted reproductive therapy.Result(s)The mean follow-up was 29 months. Among the 28 patients wishing to conceive, 11 (39.3%) became pregnant. Overall cumulative pregnancy rate at 52 months for these patients was 45.1%. For patients with or without infertility, the cumulative pregnancy rate was 37.6% and 55.6%, respectively, and the cumulative spontaneous pregnancy rate 13.3% and 36.5%, respectively. All the spontaneous pregnancies were observed in the laparoscopy group.Conclusion(s)This study demonstrates that spontaneous pregnancy is more frequent after laparoscopy compared with open surgery for colorectal endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Colorectal Surgery Digestive System Surgical Procedures Endometriosis Fertility Laparoscopy Rectal Diseases Adult Colonic Diseases Colonic Diseases Colonic Diseases Colorectal Surgery Colorectal Surgery Colorectal Surgery Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Endometriosis Endometriosis Endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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