Laparoscopic treatment of endometriosis stage III-IV

M. Busacca, S. Bianchi, B. Agnoli, M. Candiani, S. De Marinis, P. Colombo

Research output: Contribution to journalArticle

Abstract

Objective: The aim of the study was to evaluate the efficacy of conservative surgery at laparoscopy on a series of patients with stage III-IV endometriosis. Methods: Of 158 women undergoing operative laparoscopy for endometriosis stage III-IV, only the patients followed for a minimum of six months (n = 115) were considered. The cumulative proportion of pregnant patients and the cumulative recurrence rate were calculated using the Kaplan-Meyer method. Results: Thirteen pregnancies (37%) occurred in the infertile patients. All pregnancies occurred in patients with stage III endometriosis, whereas no woman with stage IV endometriosis conceived (48% versus 0%, p <0.05). The 18-month cumulative pregnancy rate was 40.5%. We observed two (1.7%) recurrences confirmed by histologic examination, and 12 (11.4%) recurrences documented only by clinical and ultrasonographic findings. In 11 of 14 cases (79%) endometriotic cysts recurred on the same ovary involved by the disease at the first laparoscopy. No recurrence occurred in the first six months of follow-up. The 24 month-cumulative recurrence rate was 38%. The cumulative recurrence rates were significantly different in the patients with cysts equal or larger than 4 cm compared to those with cysts less than 4 cm (19% versus 50%, p <0.05). Conclusions: Operative laparoscopy seems to be an effective treatment for endometriosis stage III-IV. However, extension of the series and a longer follow-up are needed to further clarify the role of operative laparoscopy in the management of advanced endometriosis.

Original languageEnglish
Pages (from-to)10-13
Number of pages4
JournalItalian Journal of Gynaecology and Obstetrics
Volume8
Issue number1
Publication statusPublished - 1996

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Endometriosis
Laparoscopy
Recurrence
Cysts
Therapeutics
Pregnancy
Pregnancy Rate
Ovary

Keywords

  • Endometriosis
  • Infertility
  • Operative laparoscopy
  • Recurrence

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Busacca, M., Bianchi, S., Agnoli, B., Candiani, M., De Marinis, S., & Colombo, P. (1996). Laparoscopic treatment of endometriosis stage III-IV. Italian Journal of Gynaecology and Obstetrics, 8(1), 10-13.

Laparoscopic treatment of endometriosis stage III-IV. / Busacca, M.; Bianchi, S.; Agnoli, B.; Candiani, M.; De Marinis, S.; Colombo, P.

In: Italian Journal of Gynaecology and Obstetrics, Vol. 8, No. 1, 1996, p. 10-13.

Research output: Contribution to journalArticle

Busacca, M, Bianchi, S, Agnoli, B, Candiani, M, De Marinis, S & Colombo, P 1996, 'Laparoscopic treatment of endometriosis stage III-IV', Italian Journal of Gynaecology and Obstetrics, vol. 8, no. 1, pp. 10-13.
Busacca M, Bianchi S, Agnoli B, Candiani M, De Marinis S, Colombo P. Laparoscopic treatment of endometriosis stage III-IV. Italian Journal of Gynaecology and Obstetrics. 1996;8(1):10-13.
Busacca, M. ; Bianchi, S. ; Agnoli, B. ; Candiani, M. ; De Marinis, S. ; Colombo, P. / Laparoscopic treatment of endometriosis stage III-IV. In: Italian Journal of Gynaecology and Obstetrics. 1996 ; Vol. 8, No. 1. pp. 10-13.
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