The second time around: reproductive performance after repetitive versus primary surgery for endometriosis

Paolo Vercellini, Edgardo Somigliana, Raffaella Daguati, Daguati R, Giussy Barbara, Giussy Barbàra, Abbiati A, Annalisa Abbiati, Luigi Fedele
Fertility and sterility · 2009 · vol. 92(4) , pp. 1253–1255 · doi:10.1016/j.fertnstert.2009.04.037 · PMID:19476938 · W2034001837
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This study evaluated the reproductive outcomes of women undergoing repeat surgeries for endometriosis compared to those having primary surgery.

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Abstract

After repetitive surgery for recurrent endometriosis, 20 of 89 (22%) women achieved spontaneous pregnancy, compared with 165 of 411 (40%) after first-line procedure (adjusted incidence rate ratio, 0.51; 95% confidence interval, 0.32 to 0.82), and the 12- and 24-month cumulative pregnancy rates were 14% and 26% in the former group compared with 32% and 38% in the latter. Among infertile patients at baseline, 13 of 67 (19%) conceived after reoperation compared with 98 of 290 (34%) after primary surgery (adjusted incidence rate ratio, 0.55; 95% confidence interval, 0.30 to 0.99), and the 12- and 24-month cumulative pregnancy rates were 13% and 22% in the former group and 25% and 30% in the latter.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Pregnancy Rate Uterine Diseases Adult Cohort Studies Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Gynecologic Surgical Procedures Gynecologic Surgical Procedures Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Infertility, Female Infertility, Female Infertility, Female Postoperative Complications Postoperative Complications

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 (47)

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