Index

Very limited information is available on the effect of repetitive surgery for recurrent symptomatic endometriosis in terms of postoperative pain relief.Candiani et al. (166) evaluated the relief of pain symptoms in 42 women undergoing repetitive conservative surgery at laparotomy for recurrent endometriosis. At second-line operation, the disease was at stage IV in 14, stage III in 25, and stage I in 3 women. After a mean follow-up of 42 months, dysmenorrhea and deep dyspareunia reappeared in eight women and noncyclical pelvic pain in seven. A third operation was necessary in six subjects.