Surgical treatment of deep endometriosis and risk of recurrence

Michele Vignali, Stefano Bianchi, Massimo Candiani, Giovanna Spadaccini, Giulia Oggioni, Mauro Busacca

Research output: Contribution to journalArticlepeer-review


STUDY OBJECTIVE: To evaluate the risk of recurrence of deep endometriosis after conservative surgery. DESIGN: Retrospective analysis (Canadian Task Force classification II-3). SETTING: Tertiary care university hospital. PATIENTS: One hundred fifteen symptomatic patients operated on in our department from 1996 through 2002 with postoperative follow-up of at least 12 months. INTERVENTION: All patients underwent conservative surgery for deep infiltrating endometriosis. MEASUREMENT AND MAIN RESULTS: Risk factors for recurrence of symptoms and clinical findings and for repeated surgery were evaluated by univariate and multivariate analysis. During follow-up, we observed 28 patients with pain recurrence and 15 patients with recurrent clinical findings, and 12 patients required reoperation for deep endometriosis. Recurrence rates of pain and clinical findings during 36 months were 20.5% and 9%, respectively. Multivariate analysis showed that only age was a significant predictor of pain recurrence (OR 0.9, 95% CI 0.81-0.99, p

Original languageEnglish
Pages (from-to)508-513
Number of pages6
JournalJournal of Minimally Invasive Gynecology
Issue number6
Publication statusPublished - Dec 2005


  • Deep endometriosis
  • Endometriosis
  • Laparoscopy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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