Laser laparoscopy versus laparotomy in the treatment of infertility patients with severe endometriosis

Augusto P. Chong, A P Chong, Chong AP, A Luciano, Anthony A. Luciano, Luciano A, A M O'Shaughnessy, O'Shaughnessy AM, A. O'Shaughnessy
Journal of Gynecologic Surgery · 1990 · vol. 6(3) , pp. 179–183 · doi:10.1089/gyn.1990.6.179 · PMID:10150018 · W2040900396
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This study compared laparoscopy and laparotomy for severe endometriosis and found similar pregnancy rates, with laparoscopy offering faster recovery and shorter hospital stays.

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Abstract

The best pregnancy rates reported in the literature for infertility patients with severe pelvic endometriosis (stage IV) have been attributed to surgical management. In the last few years, improved endoscopic instruments have allowed gynecologists to treat difficult conditions with the CO 2 laser via laparoscopy, with good results. To assess the usefulness of the CO 2 laser via laparoscopy in treating severe pelvic endometriosis, two groups of patients were studied. Thirteen patients were treated by laparotomy (group I) and 11 patients by laparoscopy (group II). Seven achieved pregnancy in group I (53.8%), and pregnancy occurred in 6 patients in group II (54.5%). This study suggests that the management of severe pelvic endometriosis in infertility patients via laparoscopy seems to yield similar pregnancy rates to those treated with laparotomy, with the advantages of faster recovery and fewer hospitalization days for those undergoing laparoscopic surgery.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Infertility, Female Laser Therapy Pelvic Neoplasms Adult Adult Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Humans Humans Infertility, Female Infertility, Female Infertility, Female Laparoscopy Laparoscopy

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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 ]

References (6)

Cited by (9)

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License: CC0 · commercial use OK