Document Detail


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
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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


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