Literature DB >> 19476938

The second time around: reproductive performance after repetitive versus primary surgery for endometriosis.

Paolo Vercellini1, Edgardo Somigliana2, Raffaella Daguati2, Giussy Barbara3, Annalisa Abbiati3, Luigi Fedele3.   

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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Mesh:

Year:  2009        PMID: 19476938     DOI: 10.1016/j.fertnstert.2009.04.037

Source DB:  PubMed          Journal:  Fertil Steril        ISSN: 0015-0282            Impact factor:   7.329


  6 in total

Review 1.  To operate or not to operate on women with deep infiltrating endometriosis (DIE) before in vitro fertilization (IVF).

Authors:  Márcia Mendonça Carneiro; Luciana Maria Pyramo Costa; Ivete de Ávila
Journal:  JBRA Assist Reprod       Date:  2017-06-01

Review 2.  Surgery for endometriosis-associated infertility: do we exaggerate the magnitude of effect?

Authors:  B Rizk; R Turki; H Lotfy; S Ranganathan; H Zahed; A R Freeman; Z Shilbayeh; M Sassy; M Shalaby; R Malik
Journal:  Facts Views Vis Obgyn       Date:  2015

Review 3.  Endometriosis and infertility: how and when to treat?

Authors:  Anis Fadhlaoui; Jean Bouquet de la Jolinière; Anis Feki
Journal:  Front Surg       Date:  2014-07-02

4.  Effect of second-line surgery on in vitro fertilization outcome in infertile women with ovarian endometrioma recurrence after primary conservative surgery for moderate to severe endometriosis.

Authors:  Hana Park; Chung-Hoon Kim; Eun-Young Kim; Jei-Won Moon; Sung-Hoon Kim; Hee-Dong Chae; Byung-Moon Kang
Journal:  Obstet Gynecol Sci       Date:  2015-11-16

5.  Deep infiltrating endometriosis affecting the urinary tract-surgical treatment and fertility outcomes in 2004-2013.

Authors:  Liisu Saavalainen; Oskari Heikinheimo; Aila Tiitinen; Päivi Härkki
Journal:  Gynecol Surg       Date:  2016-05-26

Review 6.  An Update on Surgical versus Expectant Management of Ovarian Endometriomas in Infertile Women.

Authors:  Sanaz Keyhan; Claude Hughes; Thomas Price; Suheil Muasher
Journal:  Biomed Res Int       Date:  2015-07-09       Impact factor: 3.411

  6 in total

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