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.
|Titolo:||Repetitive conservative surgery for recurrence of endometriosis|
FEDELE, LUIGI (Secondo)
BIANCHI, STEFANO (Penultimo)
|Parole Chiave:||Ovarian Neoplasms ; Humans ; Reoperation ; Endometriosis ; Pain ; Pregnancy ; Prospective Studies ; Dysmenorrhea; Infertility, Female ; Adult ; Uterine Neoplasms ; Follow-Up Studies ; Surgical Procedures, Operative ; Neoplasm Recurrence, Local ; Female|
|Settore Scientifico Disciplinare:||Settore MED/40 - Ginecologia e Ostetricia|
|Data di pubblicazione:||mar-1991|
|Appare nelle tipologie:||01 - Articolo su periodico|