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 language | English |
|---|---|
| Pages (from-to) | 10-13 |
| Number of pages | 4 |
| Journal | Italian Journal of Gynaecology and Obstetrics |
| Volume | 8 |
| Issue number | 1 |
| Publication status | Published - 1996 |
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Keywords
- Endometriosis
- Infertility
- Operative laparoscopy
- Recurrence
ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
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 journal › Article
}
TY - JOUR
T1 - Laparoscopic treatment of endometriosis stage III-IV
AU - Busacca, M.
AU - Bianchi, S.
AU - Agnoli, B.
AU - Candiani, M.
AU - De Marinis, S.
AU - Colombo, P.
PY - 1996
Y1 - 1996
N2 - 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.
AB - 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.
KW - Endometriosis
KW - Infertility
KW - Operative laparoscopy
KW - Recurrence
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M3 - Article
AN - SCOPUS:0030004385
VL - 8
SP - 10
EP - 13
JO - Italian Journal of Gynaecology and Obstetrics
JF - Italian Journal of Gynaecology and Obstetrics
SN - 1121-8339
IS - 1
ER -