Could surgeon’s expertise resolve the debate about surgery effectiveness in treatment of endometriosis-related infertility?

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This paper explores whether a surgeon's proficiency can settle the ongoing debate regarding the effectiveness of surgical interventions for endometriosis-associated infertility.

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This paper addresses whether differences in surgeon expertise could help resolve the ongoing debate about how effective surgery is for treating endometriosis-related infertility, as reflected in the broader controversy referenced by the authors. It is presented as a short viewpoint/analysis rather than a new empirical study, focusing on how variation in surgical skill and experience may influence reported outcomes across studies. The key limitation is that it does not provide new patient-level data; instead, it frames the debate around methodological factors and interpretive issues. This paper is centrally about endometriosis-related infertility—specifically the proposition that surgeon expertise may account for inconsistent evidence on surgery effectiveness in endometriosis.

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References Gizzo S, Conte L, Di Gangi S, Leggieri C, Quaranta M, Noventa M, Litta P, Saccardi C (2014) Could surgeon’s expertise resolve the debate about surgery effectiveness in treatment of endometriosis-related infertility? Arch Gynecol Obstet. (Epub ahead of print) Hickey M, Ballard K, Farquhar C (2014) Endometriosis. BMJ 348:g1752 Pellicer A, Albert C, Garrido N, Navarro J, Remohí J, Simón C (2000) The pathophysiology of endometriosis-associated infertility: follicular environment and embryo quality. J Reprod Fertil Suppl 55:109–119 Coccia ME, Rizzello F, Cammilli F, Bracco GL, Scarselli G (2008) Endometriosis and infertility surgery and ART: an integrated approach for successful management. Eur J Obstet Gynecol Reprod Biol 138(1):54–59 Canis M, Pouly JL, Tamburro S, Mage G, Wattiez A, Bruhat MA (2001) Ovarian response during IVF-embryo transfer cycles after laparoscopic ovarian cystectomy for endometriotic cysts of >3 cm in diameter. Hum Reprod. 16(12):2583–2586 Coccia ME, Rizzello F, Mariani G, Bulletti C, Palagiano A, Scarselli G (2011) Ovarian surgery for bilateral endometriomas influences age at menopause. Hum Reprod 26(11):3000–3007 Dunselman GA, Vermeulen N, Becker C, Calhaz-Jorge C, D’Hooghe T, De Bie B, Heikinheimo O, Horne AW, Kiesel L, Nap A, Prentice A, Saridogan E, Soriano D, Nelen W, European Society of Human Reproduction and Embryology (2014) ESHRE guideline: management of women with endometriosis. Hum Reprod 29(3):400–412 Coccia ME, Rizzello F, Barone S, Pinelli S, Rapalini E, Parri C, Caracciolo D, Papageorgiou S, Cima G, Gandini L (2014) Is there a critical endometrioma size associated with reduced ovarian responsiveness in assisted reproduction techniques? Reprod Biomed Online 29(2):259–266 Conflict of interest None. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Coccia, M.E., Rizzello, F., Scherbatoff, I.A. et al. Could surgeon’s expertise resolve the debate about surgery effectiveness in treatment of endometriosis-related infertility?. Arch Gynecol Obstet 292, 707–708 (2015). https://doi.org/10.1007/s00404-015-3791-1 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-015-3791-1

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endometriosisinfertility

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