Complete laparoscopic excision of endometriosis in teenagers: is postoperative hormonal suppression necessary?

Yeung P Jr, Patrick Yeung, K Sinervo, Sinervo K, Ken Sinervo, Wendy K. Winer, Winer W, Wendy Winer, Robert B Albee, R. Albee, Albee RB Jr
Fertility and sterility · 2011 · vol. 95(6) , pp. 1909–1912.e1 · doi:10.1016/j.fertnstert.2011.02.037 · PMID:21420081 · W2100994084
article OA: closed CC0 ⤵ 66 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This paper investigates the necessity of postoperative hormonal suppression following complete laparoscopic excision of endometriosis in teenage patients.

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

Abstract

ObjectiveTo determine long-term outcomes after complete laparoscopic excision done at a tertiary referral center in a teenager population, who were not specifically advised to take postoperative hormonal suppression.DesignProspective observational case series (Canadian Task Force II-3).SettingA tertiary referral center that specializes in the laparoscopic treatment of endometriosis.Patient(s)Teenagers with symptoms suspicious for endometriosis who consented and were prospectively recruited to participate in the study.Intervention(s)All patients underwent diagnostic laparoscopy and complete excision of all areas of abnormal peritoneum with typical and atypical endometriosis. Patients were not specifically advised to take postoperative hormonal suppression.Main outcome measure(s)Rate of recurrent (or persistent) endometriosis.Result(s)Twenty teenagers underwent complete laparoscopic excision of all areas of abnormal peritoneum with typical and atypical endometriosis. Seventeen patients had endometriosis confirmed by histology at initial surgery. Follow-up was up to 66 months (average 23.1 months). There was a statistically significant improvement in most pain symptoms, including bowel-related symptoms, during this time period. The rate of repeat surgery was 8 of 17 patients (47.1%), but the rate of endometriosis (diagnosed visually or histologically) found at surgery was zero. Only one-third of patients took postoperative hormonal suppression for any length of time.Conclusion(s)Complete laparoscopic excision of endometriosis in teenagers--including areas of typical and atypical endometriosis--has the potential to eradicate disease. These results do not depend on postoperative hormonal suppression. These data have important implications in the overall care of teenagers, regarding pain management, but also potentially for fertility. Further large comparative trials are needed to verify these results.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Hormone Antagonists Laparoscopy Laparoscopy Ovulation Inhibition Ovulation Inhibition Ovulation Inhibition Peritoneal Diseases Adolescent Child Drug Administration Schedule Endometriosis Female Follow-Up Studies Gynecologic Surgical Procedures Gynecologic Surgical Procedures Gynecologic Surgical Procedures Gynecologic Surgical Procedures Hormone Antagonists Hormone Antagonists

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 (42)

Cited by (50)

Source provenance

europepmc
last seen: 2026-09-06T09:34:12.023084+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:16:48.482574+00:00
License: CC0 · commercial use OK