Delivery after operation for deeply infiltrating endometriosis

This study investigated whether women with histologically confirmed deeply infiltrating endometriosis have higher risks of adverse pregnancy outcomes and intrapartum complications after undergoing surgery. It included 51 women who had surgery for deeply infiltrating endometriosis and then gave birth at the Women’s General Hospital Linz, reporting delivery mode and selected labor-related outcomes. Findings showed 60.8% spontaneous vaginal delivery and 39.2% cesarean delivery, with 7.8% preterm delivery, 2.0% premature rupture of membranes, and 6.5% retained placenta; notably, there were no third- or fourth-degree perineal lacerations. The authors conclude this is the first description of delivery modes after surgery for deeply infiltrating endometriosis and report no elevated risk of perineal or vaginal laceration even after rectal or posterior vaginal wall resection. This paper is centrally about endometriosis — it describes pregnancy and delivery outcomes after surgery for deeply infiltrating endometriosis.

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