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.
The second time around : reproductive performance after repetitive versus primary surgery for endometriosis / P. Vercellini, E. Somigliana, R. Daguati, G. Barbara, A. Abbiati, L. Fedele. - In: FERTILITY AND STERILITY. - ISSN 0015-0282. - 92:4(2009), pp. 1253-1255.
|Titolo:||The second time around : reproductive performance after repetitive versus primary surgery for endometriosis|
VERCELLINI, PAOLO PIETRO (Primo)
SOMIGLIANA, EDGARDO (Secondo)
ABBIATI, ANNALISA (Penultimo)
FEDELE, LUIGI (Ultimo)
|Parole Chiave:||conservative surgery; Endometriosis; infertility; recurrence|
|Settore Scientifico Disciplinare:||Settore MED/40 - Ginecologia e Ostetricia|
|Data di pubblicazione:||2009|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.fertnstert.2009.04.037|
|Appare nelle tipologie:||01 - Articolo su periodico|