Repetitive conservative surgery for recurrence of endometriosis.

Abstract:

:We evaluated the recovery of fertility and the relief of pain symptoms in a long-term follow-up of 42 women undergoing repetitive conservative surgery for recurrent endometriosis. The mean age of the patients was 31.1 +/- 4.3 years. At the time of their second operation the disease was stage IV in 14 women, stage III in 25, and stage I in three. After reoperation, the patients were followed for a mean period of 41.8 +/- 30.3 months. Pain symptoms returned in eight women, dysmenorrhea and deep dyspareunia in eight, and pelvic pain in seven. Eight of the 28 women (28.6%) who attempted to conceive achieved a total of 13 pregnancies. The corrected pregnancy rate was 35%, and the cumulative rate at 27 months was 30.7%. A third operation was necessary in six women after a mean period of 35 months. Conservative surgery is an effective therapeutic option for infertile patients with recurrent endometriosis.

journal_name

Obstet Gynecol

authors

Candiani GB,Fedele L,Vercellini P,Bianchi S,Di Nola G

subject

Has Abstract

pub_date

1991-03-01 00:00:00

pages

421-4

issue

3

eissn

0029-7844

issn

1873-233X

journal_volume

77

pub_type

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