Laparoscopic endometriosis treatment: is it better?

G. David Adamson, Stacy J. Hurd, David J. Pasta, B. D. Rodriguez, BRUCE D. RODRIGUEZ
In: Fertility and Sterility · 1993 · vol. 59(1) , pp. 35–44 · doi:10.1016/s0015-0282(16)55611-8 · W3125811687
article OA: closed CC0 ⤵ 78 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This paper compares the effectiveness of laparoscopic surgery versus other methods for treating endometriosis.

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Abstract

ObjectiveTo assess the hypothesis that pregnancy rates (PRs) after operative laparoscopy (Laparoscopy Group) for endometriosis treatment would be equal to or greater than diagnostic laparoscopy only (No Treatment Group), diagnostic laparoscopy with medical treatment (Medical Treatment Group), and laparotomy (Laparotomy Group).DesignProspectively recorded data were analyzed to identify significant variables affecting PRs. These variables were statistically controlled for using survival analysis with multiple fixed covariates to compare operative laparoscopy PRs versus other treatment PRs.SettingTreatment was performed by the senior author in a referral reproductive endocrinology and surgery private practice.PatientsFive hundred seventy-nine infertile women were diagnosed with endometriosis. A subset (n = 258) considered to have endometriosis only was evaluated separately (Endometriosis-Only Subset).InterventionsTreatment groups included: No Treatment Group, Medical Treatment Group, Laparoscopy Group, and Laparotomy Group.Main outcome measure(s)Pregnancy was used as the indicator of treatment success.ResultsLaparoscopy Group PRs were at least equal to all other treatment groups and were significantly higher than some other treatment groups in some comparisons.ConclusionsOperative laparoscopy is the treatment of choice for infertile women with endometriosis unless they have severe tubal and/or fimbrial disease.

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Condition tags

endometriosis

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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.

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