Pain relief after combined medical and laparoscopic conservative treatment of stage III–IV endometriosis: A comparison with medical therapy

Duccio Federici, Tatiana Brambilla, B. Lacelli, Luca Arcaini, G Motta, Alberto Agarossi, L. Muggiasca, M. Conti
In: Minimally Invasive Therapy & Allied Technologies · 1996 · vol. 5(6) , pp. 547–554 · doi:10.3109/13645709609152702 · W2033096265
article OA: closed CC0 ⤵ 5 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study found that combined medical and laparoscopic conservative treatment for stage III-IV endometriosis resulted in significantly greater pain relief compared to medical treatment alone.

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Abstract

SummaryIn this prospective clinical trial, we evaluate the efficacy of combined medical and laparoscopic conservative treatment of extensive endometriosis associated with chronic pelvic pain. Thirty-two patients with stage III–IV endometriosis allocated to combined medical and laparoscopic surgical treatment were compared with a control group of 20 patients with the same characteristics who were given medical treatment alone. The second-look laparoscopy in the combined treatment group showed good anatomic outcome. Results in terms of pain relief were also very good in the patients who underwent combined treatment, with a highly significant difference (P lt; 0.001) in comparison with the medical treatment control group. Unfortunately, no conservative treatment of endometriosis protects the patient from the risk of recurrence. Nevertheless, we believe that the combination of laparoscopic conservative surgery with medical treatment is useful in achieving optimal anatomic results and is very effective in relieving pain.

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Condition tags

endometriosischronic_pelvic_pain

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.

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