Conservative surgical treatment for severe endometriosis in infertile women: are we making progress?

GlOVANNI BATTISTA CANDIANI, G B Candiani, Candiani GB, P Vercellini, Vercellini P, Paolo Vercellini, L Fedele, Luigi Fedele, Fedele L, Bianchi S, S Bianchi, Stefano Bianchi, Vendola N, Nicoletta Vendola, N Vendola, M. Candiani, Massimo Candiani, Candiani M
Obstetrical & gynecological survey · 1991 · vol. 46(7) , pp. 490 · doi:10.1097/00006254-199107000-00029 · PMID:1831552 · W2055391145
Review OA: closed CC0 ⤵ 17 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 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.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

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.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

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

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (17)

Source provenance

europepmc
last seen: 2026-10-12T06:17:10.165071+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:05:10.907216+00:00
unpaywall
last seen: 2026-10-12T06:33:14.382917+00:00
License: CC0 · commercial use OK