Document Detail


Do patients manage to achieve pregnancy after a major complication of deeply infiltrating endometriosis resection?
MedLine Citation:
PMID:  20970915     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the fertility status in women suffering from major postoperative complications following deep endometriosis surgery.
STUDY DESIGN: A retrospective study in teaching and research hospitals (tertiary centers) including 23 women submitted to the surgical treatment for deep endometriosis and presenting a major postoperative complication. Postoperatively, women desiring pregnancy who conceived were compared to those who did not conceive using Mann-Whitney test and Fisher's exact test. Main outcome measure included the pregnancy rate among these women.
RESULTS: The overall intrauterine pregnancy rate was 47.8% and the live birth rate was 30.4%. There were 10 spontaneous conceptions and 3 IVF conceptions among 11 patients. Women who did not conceive were older than those who conceived (33.9 vs. 29.3 years; p=0.02). The pregnancy rate after intestinal complications was lower than after urinary complications (33.3% vs. 83.3%; p=0.04).
CONCLUSION: Fertility remains preserved among women experiencing a major complication after removal of deep endometriosis with a live birth rate of 30.4%. Women experiencing bowel complications have a reduced probability of conception compared with those who experience a urologic complication.
Authors:
William Kondo; Emile Daraï; Chadi Yazbeck; Pierre Panel; Stefano Tamburro; Jean Dubuisson; Kris Jardon; Gérard Mage; Patrick Madelenat; Michel Canis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  154     ISSN:  1872-7654     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  196-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
CHU de Clermont-Ferrand, Polyclinique de l'Hôtel Dieu, Clermont-Ferrand, France; Department of Obstetrics and Gynecology, Boulevard Léon Malfreyt 63058 Clermont Ferrand Cédex 1, France.
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