Repetitive conservative surgery for recurrence of endometriosis.

G B Candiani, G Candiani, Luigi Fedele, L Fedele, Paolo Vercellini, P Vercellini, Stefano Bianchi, S Bianchi, G Di Nola, Giuliana Di Nola
Obstetrics and gynecology · 1991 · vol. 77(3) , pp. 421–4 · PMID:1992410 · W2414407581
article OA: closed CC0 ⤵ 54 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study followed 42 women undergoing repetitive conservative surgery for recurrent endometriosis and found that pain symptoms recurred in some, but 28.6% of those attempting conception achieved pregnancy.

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Abstract

We evaluated the recovery of fertility and the relief of pain symptoms in a long-term follow-up of 42 women undergoing repetitive conservative surgery for recurrent endometriosis. The mean age of the patients was 31.1 +/- 4.3 years. At the time of their second operation the disease was stage IV in 14 women, stage III in 25, and stage I in three. After reoperation, the patients were followed for a mean period of 41.8 +/- 30.3 months. Pain symptoms returned in eight women, dysmenorrhea and deep dyspareunia in eight, and pelvic pain in seven. Eight of the 28 women (28.6%) who attempted to conceive achieved a total of 13 pregnancies. The corrected pregnancy rate was 35%, and the cumulative rate at 27 months was 30.7%. A third operation was necessary in six women after a mean period of 35 months. Conservative surgery is an effective therapeutic option for infertile patients with recurrent endometriosis.

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Condition tags

dysmenorrheaendometriosisdyspareunia

MeSH descriptors

Endometriosis Ovarian Neoplasms Uterine Neoplasms Adult Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Female Follow-Up Studies Humans Infertility, Female Infertility, Female Neoplasm Recurrence, Local Ovarian Neoplasms Ovarian Neoplasms Pain Pain Pregnancy Pregnancy

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.

Cited by (50)

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License: CC0 · commercial use OK