| Determinant factors of fertility outcomes after laparoscopic colorectal resection for endometriosis. | |
| | |
MedLine Citation:
|
PMID: 20096500 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The aims of this prospective study were to evaluate fertility, pregnancy outcomes and their determinant factors after laparoscopic segmental colorectal resection for endometriosis. STUDY DESIGN: We studied 83 women who underwent colorectal resection for endometriosis. Thirty-nine women (47%) had an associated infertility and 51 (61.4%) wished to conceive after surgery. Surgical route was exclusive laparoscopy in 77 cases (92.7%) and laparoconversion in 6 (7.3%). RESULTS: Twenty-nine pregnancies were obtained in 24 patients (43.6%) including 20 spontaneous (69%) and 9 by IVF (31%). The median time to conceive spontaneously was 6 months and 20 months by IVF. Among the 39 infertile women, 18 (46%) conceived during the study period. A relation was found between pregnancy rate and patient age (p=0.02). Reduction in pregnancy rate was correlated to the presence of adenomyosis (p=0.04) and high ASRM total score (p<0.001) as well as exclusive laparoscopy compared to conversion to laparotomy for colorectal resection (p=0.01). CONCLUSION: Adenomyosis and conversion to laparotomy as well as patient age, ASRM score appeared determinant factors of fertility outcome. |
| | |
Authors:
|
Emile Dara?; Marie Carbonnel; Gil Dubernard; Vincent Lavou?; Charles Coutant; Marc Bazot; Marcos Ballester |
Publication Detail:
|
Type: Journal Article Date: 2010-01-21 |
Journal Detail:
|
Title: European journal of obstetrics, gynecology, and reproductive biology Volume: 149 ISSN: 1872-7654 ISO Abbreviation: Eur. J. Obstet. Gynecol. Reprod. Biol. Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-03-08 Completed Date: 2010-06-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: Ireland |
Other Details:
|
Languages: eng Pagination: 210-4 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
Service de Gyn?cologie-Obst?trique, H?pital Tenon, Assistance Publique des H?pitaux de Paris, Universit? Pierre et Marie Curie Paris 6, 4 rue de la Chine, 75020 Paris, France. emile.darai@tnn.aphp.fr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Colon / surgery Endometriosis / surgery* Female Fertility* Fertilization in Vitro Humans Infertility, Female / surgery Laparoscopy* Pregnancy Pregnancy Outcome Pregnancy Rate Prospective Studies Rectum / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Laparoscopic sacrocolpopexy for female genital organ prolapse: establishment of a learning curve.
Next Document: Refolding of the non-specific neutral protease from Bacillus stearothermophilus proceeds via an auto...