Surgical management of endometriosis in adolescents versus adults: a National Surgical Quality Improvement Program study
article
OA: closed
CC0
⤵ 4 in-corpus citations
AI-generated summary
Adolescents undergoing endometriosis surgery were more likely to receive diagnostic laparoscopy or lesion excision for peritoneal endometriosis, while adults had more diverse procedures for varied subtypes, with rare complications in both groups.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
Abstract
OBJECTIVE: To compare the postoperative diagnoses and the types of surgical intervention, excluding hysterectomy, between adolescents and adults receiving endometriosis surgery.
DESIGN: Retrospective cohort study.
SUBJECTS: Adolescents (aged <18 years) and adults (aged 18-50 years) with a postoperative diagnosis of endometriosis (excluding adenomyosis/endometriosis of the uterus) based on International Classification of Diseases codes, who received endometriosis surgery in hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program adult and pediatric databases (2012-2021).
EXPOSURE: Endometriosis surgery, excluding hysterectomy, identified by Current Procedural Terminology codes.
MAIN OUTCOME MEASURES: Postoperative diagnoses, uterine-sparing endometriosis procedures, and 30-day postoperative complications between age groups.
RESULTS: We identified 291 adolescents, median age 17 years (IQR, 15-17 years), and 8,785 adults, median age 34 years (IQR, 28-39 years), who underwent uterine-sparing surgery with a postoperative diagnosis of endometriosis. Most adolescents (78%) and adults (60%) were White, although adults were significantly more diverse across racial groups and ethnic groups (6% vs. 10%). A higher proportion of surgeries in adolescents were for peritoneal endometriosis (65% vs. 35%), whereas more adults underwent surgery for endometrioma (10% vs. 26%) or other endometriosis subtypes (25% vs. 39%). Laparoscopic excision/destruction of lesions was the most common procedure performed in adolescents (75%). Although this remained the most common procedure in adults (59%), their endometriosis diagnoses were associated with a more diverse range of procedures. Diagnostic laparoscopy was more commonly performed in adolescents and rarely in adults (20% vs. 2%). Thirty-day complications were rare in both groups.
CONCLUSION: Adolescents were more likely to undergo diagnostic laparoscopy or laparoscopic excision/destruction of lesions and be diagnosed with peritoneal endometriosis, whereas adults underwent a more diverse range of procedures for varied subtypes. Complications for endometriosis procedures were rare. Our findings support the notion of distinct variation in endometriosis between these age groups.
My notes (saved in your browser only)
Condition tags
MeSH descriptors
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.
References (22)
- ACOG Committee Opinion No. 760: Dysmenorrhea and Endometriosis in the Adolescent via openalex
- Adolescent endometriosis in the Waikato region of New Zealand – A comparative cohort study with a mean follow‐up time of 2.6 years via openalex
- Adolescent endometriosis: prevalence increases with age on magnetic resonance imaging scan via openalex
- Advanced Stage Endometriosis in Adolescents and Young Women via openalex
- Clinical Characteristics and Postoperative Symptoms of 85 Adolescents with Endometriosis via openalex
- Complete laparoscopic excision of endometriosis in teenagers: is postoperative hormonal suppression necessary? via openalex
- Effectiveness of laparoscopic removal of isolated superficial peritoneal endometriosis for the management of chronic pelvic pain in women (ESPriT2): protocol for a multi-centre randomised controlled trial via openalex
- Endometriosis: a life cycle approach? via openalex
- Endometriosis in Adolescents via openalex
- Endometriosis in adolescents is a hidden, progressive and severe disease that deserves attention, not just compassion via openalex
- Influence of race/ethnicity on prevalence and presentation of endometriosis: a systematic review and meta‐analysis via openalex
- Progression of Endometriosis in Non-medically Managed Adolescents: A Case Series via openalex
- Racial and ethnic disparities in surgical care for endometriosis across the United States via openalex
- Surgical Considerations in the Management of Adolescent Endometriosis-An Expert Commentary via openalex
- The Impact of Endometriosis on Quality of Life in Adolescents via openalex
- The Prevalence of Endometriosis in Adolescents with Pelvic Pain: A Systematic Review via openalex
- Trends in pelvic pain symptoms over 2 years of follow-up among adolescents and young adults with and without endometriosis via openalex
- W2154381405 via openalex
- W4214754424 via openalex
- W2774464619 via openalex
- W4401934550 via openalex
- W6795944737 via openalex
Cited by (4)
- Adolescent Endometriosis and Chronic Pelvic Pain 2026
- Diagnostic laparoscopy should not be used to establish the diagnosis of endometriosis: the need for standardized preoperative mapping in adolescents 2026
- Evaluation and surgical approaches to gynecologic pelvic pain in pediatric patients 2025
- Endometriosis across ages: uncovering differences between teens and adults 2025
Source provenance
- europepmc
- last seen: 2026-07-30T06:25:42.655704+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-07-30T06:15:07.005880+00:00
License: CC0
· commercial use OK