Significant Improvement in Diagnosis and Surgical Management of Deep-Infiltrating Endometriosis After Formation of a Specialized Unit: A Chilean Experience

Demetrio Larraín, Jaime Prado, Hans Buckel, Mauricio Mondión, Valeria Veronesi, Iván Rojas
In: Journal of Gynecologic Surgery · 2018 · vol. 35(3) , pp. 147–153 · doi:10.1089/gyn.2018.0081 · W2907847743
article OA: bronze CC0 ⤵ 2 in-corpus citations
📄 Open PDF View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Formation of a specialized unit significantly improved diagnosis, reduced incomplete resections and recurrence, and shortened time-to-pregnancy for deep-infiltrating endometriosis patients.

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

Abstract

Objective: The goal of this research was to assess diagnosis and laparoscopic management of deep-infiltrating endometriosis after formation of a specialized unit in the Clínica Santa María, Santiago, Chile. Outcomes were compared with the current authors' results prior to the new unit. Materials and Methods: This retrospective study used prospectively collected data of 137 patients with pathology-proven deep-infiltrating endometriosis. The patients were divided into 2 groups: A had patients operated on prior to the unit's formation (n = 39) and B had patients operated on after the unit's formation (n = 98). Surgical and fertility outcomes were compared. Results: All procedures were performed laparoscopically without conversions. A significant increase in use of preoperative imaging (p < 0.001) and revised American Fertility Society staging (p = 0.01) occurred after the unit's formation. Bowel involvement was significantly higher in Group B (12.8% versus 38.8%; p < 0.004). There were also fewer incomplete resections (28.2% versus 2%; p < 0.001), lower recurrence rates (20.5% versus 6.1%; p = 0.02), and fewer reoperations (10.3% versus 1%; p < 0.02) since the unit's formation. Complication rates were similar in both groups. One-year pregnancy rates were similar, but time-to-pregnancy was shorter in Group B (12 versus 6.2 months; p = 0.02). Median follow-up was 49.3 versus 14.4 months for Groups A and B, respectively (p < 0.001). In Group A, 79% of the patients experienced relevant symptom reductions versus 94% in Group B (p = 0.02). Conclusions: Surgical management of deep-infiltrating endometriosis in specialized units improves perioperative outcomes significantly.

My notes (saved in your browser only)

Outcome instruments

AFS

Condition tags

endometriosis

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 (23)

Cited by (2)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK