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Laparoscopic Surgery for Endometriosis: A Long Term Follow‐Up
Author(s) -
Tokushige Makoto,
Suginami Hiroshi,
Taniguchi Fumiaki,
Kitaoka Yuki
Publication year - 2000
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2000.tb01350.x
Subject(s) - medicine , endometriosis , fecundity , pregnancy , surgery , laparoscopic surgery , pregnancy rate , pelvic pain , stage (stratigraphy) , observational study , laparoscopy , obstetrics , gynecology , population , paleontology , environmental health , biology , genetics
Objective: To investigate if complete resolution of endometriosis by laparoscopic surgery is beneficial to postoperative fecundity, dysmenorrhea and dyspareunia. Design: An observational comparative study on the outcome of laparoscopic surgery. Patients: Laparoscopically‐treated symptomatic women with endometriosis (total n = 236); complete ( n = 185) and incomplete ( n = 51) surgery groups. Measurements: Postoperative fecundity and symptom reduction. Results: With whole populations, no surgical completeness‐related difference was observed in cumulative pregnancy rates during the postoperative days 0–400 (cycle fecundity rate = 0.0319). Further accumulation of pregnant cases was followed in the complete surgery group (final cumulative pregnancy rate = 80%), but not in the counterpart group (p = 0.003). The similar result was obtained when only r‐AFS classification stages III and IV were compared (p = 0.007). No r‐AFS stage‐related difference was observed in cumulative pregnancy rates when only patients of complete surgery were selected for comparison. The surgery reduced dysmenorrhea (84.7%) and dyspareunia (80.0%). Conclusions: Laparoscopic conservative surgery for endometriosis, especially when it is complete, increases fecundity and reduces disease‐related symptoms, such as dysmenorrhea and dyspareunia.