Conservative Surgical Treatment for Severe Endometriosis in Infertile Women

GlOVANNI BATTISTA CANDIANI, G B Candiani, Paolo Vercellini, P Vercellini, L Fedele, Luigi Fedele, Stefano Bianchi, S Bianchi, Nicoletta Vendola, N Vendola, M Candiani, Massimo Candiani
Obstetrical & gynecological survey · 1991 · vol. 46(7) , pp. 490 · doi:10.1097/00006254-199107000-00029 · PMID:1831552 · W2055391145
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This literature review compares laparotomy and laparoscopy for severe endometriosis in infertile women, analyzing postoperative reproductive success to determine the future of endoscopic treatment.

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Abstract

Conservative surgery for severe endometriosis in infertile women is one of the most challenging situations for the pelvic surgeon. The second half of the 1980s saw an increase in the supporters of laparoscopic treatment even for more extensive disease. Two opposing factions were thus created: traditional gynecologic surgeons who accuse endoscopists of imprudence and technical inadequacy and enthusiastic supporters of operative laparoscopy who consider laparotomy obsolete and its associated morbidity needlessly high for the patient and health service. In the present review of the literature data we analyze laparotomy and laparoscopy techniques and compare the postoperative results in terms of reproductive success in an attempt to clarify whether conservative endoscopic treatment of severe endometriosis is only an inappropriate proposal with no future or whether, due to its efficacy, it will eventually limit interventions via laparotomy to exceptional circumstances.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Infertility, Female Laparoscopy Laparotomy Uterine Neoplasms Bias Endometriosis Endometriosis Female Humans Infertility, Female Laparoscopy Laparoscopy Laparoscopy Laparotomy Laparotomy Laparotomy Pregnancy Pregnancy Outcome Uterine Neoplasms

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.

Cited by (17)

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europepmc
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License: CC0 · commercial use OK