Reoperation after initial treatment of endometriosis with conservative surgery

Robert S. Schenken, R S Schenken, Schenken RS, L R Malinak, L. Russell Malinak, Malinak Lr
American journal of obstetrics and gynecology · 1978 · vol. 131(4) , pp. 416–424 · doi:10.1016/0002-9378(78)90417-9 · PMID:665750 · W1485405683
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This paper analyzes the rate of reoperation after initial conservative surgical treatment for endometriosis.

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Abstract

One hundred and fifty-three patients with pelvic endometriosis met the study criteria of inferility, tissue diagnosis, treatment with conservative surgery, and adequate follow-up. The extent of disease was classified according to Acosta and and associates. Pregnancy rates were 10 to 100% in various subclassifications of patients; these pregnancy rates were related to the extent of disease and the existence of concurrent inferitility factors. One hundred and seventeen patients were followed up for three years. Reoperation in this group was carried out in 28 patients for recurrent pain and/or persistent infertility. Each patient had diagnostic laparoscopy preceding relaparotomy. The reoperation rate was 40.6% in those patients who remained infertile, whereas this rate was only 3.7% in those patients who conceived following initial operation. The incidence of conception after a second conservative procedure was 12%. However, an equal number of patients in this group required total abdominal hysterectomy as a third procedure for control of recurrent pain. Thus, repeat conservative surgery should play a secondary role in the treatment of patients with infertility and recurrent endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Anovulation Anovulation Castration Endometriosis Endometriosis Fallopian Tubes Fallopian Tubes Female Humans Infertility, Female Infertility, Female Male Pelvis Pregnancy Recurrence

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 (27)

Cited by (36)

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License: CC0 · commercial use OK