The impact of deep disease on surgical treatment of endometriosis

Marjaleena Setälä, Setälä M, Jyrki Kössi, Kössi J, Silventoinen S, Sari Silventoinen, Mäkinen J, Juha Mäkinen
European journal of obstetrics, gynecology, and reproductive biology · 2011 · vol. 158(2) , pp. 289–293 · doi:10.1016/j.ejogrb.2011.04.046 · PMID:21621895 · W2125643947
article OA: closed CC0 ⤵ 4 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This paper examines the influence of deep infiltrating endometriosis on surgical management strategies and outcomes.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

ObjectiveTo compare the difficulty of surgery in patients with and without deeply infiltrating endometriosis.Study designProspective cohort study performed in one hospital specialized in the surgical treatment of endometriosis. 193 consecutive patients undergoing excision of all visible endometriosis by laparoscopy (176 patients, 91.2%) or by laparotomy (17 patients, 8.2%). The duration of surgery, the number of operations, the number of day-surgery operations, the need to operate with a surgeon, the ability to perform complete excision during one operation, and the ability to perform operation by laparoscopy were compared in patients with and without deep lesions.ResultsThe mean duration of surgery was 192 (SD 96), and 76 (SD 41)min in patients with and without deep lesions (p<0.001). Ureterolysis (66% vs. 20%, p<0.001), division of adhesions (92% vs. 69%, p<0.001), and hysterectomy (32% vs., 8%, p<0.001), were more often performed on patients with deep lesions. 41 patients (42%) with deep lesions, and 1 patient (1%) without deep lesions were operated with a surgeon (p<0.001). Day-surgery was less often performed on patients with deep lesions (11% vs. 45%, p<0.001). Complete excision during one operation was performed on 95% and on 97% of the patients with and without deep lesions (p=1.0). Complete excision was less often performed by laparoscopy in patients with deep lesions (79% vs. 95%, p<0.001).ConclusionsSurgical treatment of deep lesions is more demanding and time-consuming than surgical treatment of other types of endometriosis, and collaboration with a surgeon is often necessary. Complete excision during one operation is a realistic goal for endometriosis surgery, but it is significantly less often achievable by laparoscopy in patients with deep lesions than in patients without deep lesions.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Adult Endometriosis Female Humans Laparotomy Prospective Studies

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.

References (41)

Cited by (4)

Source provenance

europepmc
last seen: 2026-10-02T06:17:20.788884+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:16:42.478857+00:00
unpaywall
last seen: 2026-10-02T06:31:42.897446+00:00
License: CC0 · commercial use OK