Surgical treatment of endometriosis in the infertile female: a modified approach
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This paper describes a modified surgical approach for treating endometriosis in infertile women, detailing the technique and its potential impact on fertility outcomes.
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Abstract
Two groups of infertile women underwent conservative surgery for endometriosis, group I (107 patients) prior to 1970 and group II (138 patients) after 1970. To determine whether modifications to the surgical approach after 1970 further increased the likelihood of conception, postoperative pregnancy rates were examined. The data suggest that postoperative pregnancy rates can be improved by (1) removal rather than "repair" of diseased adnexa if the involvement is unilateral and (2) leaving diseased areas undisturbed where excision or cauterization may predispose to the development of postoperative ovarian and/or tubal adhesions. The current surgical technique (used for group II) is described in detail.
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Cited by (20)
- Intra- and inter-observer reproducibility of r-ASRM endometriosis classification system and its components, using edited videotaped laparoscopic procedures 2021
- Effect of serum from fertile and infertile patients with endometriosis on the development of mouse embryos 1996
- Recurrent Endometriosis 1995
- Gynecology 1995
- Management of stage III and IV endometriosis: a 10-year experience 1994
- The recurrence of endometriosis 1994
- Pathogenese der Endometriose und Wirkungsmechanismus der Hormontherapie 1992
- The effect of serum obtained before and after treatment for endometriosis on in vitro development of two-cell mouse embryos 1992
- Menstrual symptoms in women with pelvic endometriosis 1991
- Operative Eingriffe bei der Endometriose 1991
- The classification of endometriosis: A comprehensive review 1991
- Argon laser therapy of endometriosis: a review of 92 consecutive patients 1987
- Endometriosis 1986
- Surgical treatment of endometriosis via laser laparoscopy 1986
- Management of Infertility Patients with Moderate to Extensive Pelvic Endometriosis by Intra-Abdominal Carbon Dioxide Laser 1986
- Combined laparoscopic surgery and danazol therapy for pelvic endometriosis 1985
- The relationship of endometriosis to spontaneous abortion 1985
- Endometriosis 1984
- Hormonal and Surgical Management of Pelvic Endometriosis 1982
- Combined laparoscopic surgery and danazol therapy for pelvic endometriosis 1981
Source provenance
- europepmc
- last seen: 2026-10-10T06:11:15.153948+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:57:38.654293+00:00
- unpaywall
- last seen: 2026-08-12T06:43:03.944938+00:00
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