Surgical treatment and adjunct therapy of endometriosis.

L R Malinak, L. Russell Malinak
International Journal of Gynecology & Obstetrics · 1993 · vol. 40 Suppl , pp. S43–7 · PMID:8099025 · W2439160977
article OA: closed CC0 ⤵ 8 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Laparoscopic surgery effectively treats endometriosis stages I-IV for pain and infertility, with hysterectomy reserved for severe cases, and combined medical therapy recommended for extensive disease.

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Abstract

Conservative surgery at laparoscopy or laparotomy is effective against stage I-IV endometriosis to relieve pelvic pain and treat infertility. The subsequent average conception rate is 45-65%. Recurrence of endometriosis may occur, although pregnancy may delay this. Hysterectomy is indicated in severe disease, but the ovaries may be preserved if there is no evidence of active disease or significant periovarian adhesion. Combined surgery and pre- or postoperative medical therapy using gonadotropin releasing hormone agonists or danazol is recommended in young non-infertile women and those with extensive or severe disease.

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Condition tags

mesh:D004715endometriosisinfertility

MeSH descriptors

Endometriosis Chemotherapy, Adjuvant Danazol Danazol Endometriosis Endometriosis Female Gastrointestinal Neoplasms Gastrointestinal Neoplasms Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Hysterectomy Laparoscopy Ovarian Neoplasms Ovarian Neoplasms Ovariectomy Uterine Neoplasms 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 (8)

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europepmc
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License: CC0 · commercial use OK