Repetitive conservative surgery for recurrence of endometriosis

Candiani GB, G B Candiani, G Candiani, L Fedele, Fedele L, Luigi Fedele, P Vercellini, Paolo Vercellini, Vercellini P, Bianchi S, S Bianchi, Stefano Bianchi, Di Nola G, Giuliana Di Nola, G Di Nola
Obstetrics and gynecology · 1991 · vol. 77(3) , pp. 421–4 · PMID:1992410 · W2414407581
Other OA: closed CC0 ⤵ 54 in-corpus citations
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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 Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Humans Humans Infertility, Female Infertility, Female Infertility, Female

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (50)

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License: CC0 · commercial use OK