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 Pregnancy Rate Uterine Diseases Adult Adult Cohort Studies Cohort Studies Endometriosis Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Gynecologic Surgical Procedures Gynecologic Surgical Procedures Gynecologic Surgical Procedures Gynecologic Surgical Procedures

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (23)

Cited by (47)

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