Laparoscopic endometriosis treatment: Is it better?

G D Adamson, G. David Adamson, Stacy J. Hurd, S J Hurd, D J Pasta, David J. Pasta, B D Rodriguez
Fertility and Sterility · 1993 · vol. 42(3) , pp. 324 · doi:10.1016/0020-7292(93)90246-s · PMID:8419220 · W1501458707
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Operative laparoscopy for endometriosis treatment resulted in pregnancy rates at least equal to and sometimes higher than diagnostic laparoscopy alone, medical treatment, or laparotomy.

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Abstract

OBJECTIVE: To assess the hypothesis that pregnancy rates (PRs) after operative laparoscopy (Laparoscopy Group) for endometriosis treatment would be equal to or greater than diagnostic laparoscopy only (No Treatment Group), diagnostic laparoscopy with medical treatment (Medical Treatment Group), and laparotomy (Laparotomy Group). DESIGN: Prospectively recorded data were analyzed to identify significant variables affecting PRs. These variables were statistically controlled for using survival analysis with multiple fixed covariates to compare operative laparoscopy PRs versus other treatment PRs. SETTING: Treatment was performed by the senior author in a referral reproductive endocrinology and surgery private practice. PATIENTS: Five hundred seventy-nine infertile women were diagnosed with endometriosis. A subset (n = 258) considered to have endometriosis only was evaluated separately (Endometriosis-Only Subset). INTERVENTIONS: Treatment groups included: No Treatment Group, Medical Treatment Group, Laparoscopy Group, and Laparotomy Group. MAIN OUTCOME MEASURE(S): Pregnancy was used as the indicator of treatment success. RESULTS: Laparoscopy Group PRs were at least equal to all other treatment groups and were significantly higher than some other treatment groups in some comparisons. CONCLUSIONS: Operative laparoscopy is the treatment of choice for infertile women with endometriosis unless they have severe tubal and/or fimbrial disease.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Cohort Studies Drug Therapy, Combination Endometriosis Endometriosis Endometriosis Female Humans Laparotomy Life Tables Postoperative Period Pregnancy Survival Analysis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (50)

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