Document Detail


Role of laparoscopy in the treatment of endometriosis-associated infertility.
MedLine Citation:
PMID:  11834866     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endometriosis is assumed to be one of the causative factors of infertility, although the mechanism remains to be elucidated. Mechanical factors distorting the pelvic anatomy and/or changes in the biochemical and cellular environment in the peritoneal cavity are possible contributing factors impairing fertility. Laparoscopy is a widely used diagnostic and therapeutic means of treating endometriosis-associated infertility. However, pregnancy outcome after laparoscopy varies depending on preexisting tubal adhesions and endometriosis. Without tubal adhesions, the pregnancy rate is essentially the same irrespective of the presence or stages of endoemetriosis. Minimal/mild endometriosis benefited the most from laparoscopic manipulation when tubal adhesions were present. On the other hand, IVF-ET outcome of patients who previously underwent laparoscopy was not influenced by preexisiting tubal adhesions and endometriosis.
Authors:
Yutaka Osuga; Kaori Koga; Osamu Tsutsumi; Tetsu Yano; Masonori Maruyama; Koji Kugu; Mikio Momoeda; Yuji Taketani
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  53 Suppl 1     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  2002  
Date Detail:
Created Date:  2002-02-08     Completed Date:  2002-04-04     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  33-9     Citation Subset:  IM    
Copyright Information:
Copyright 2002 S. Karger AG, Basel
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Tokyo, Japan. yutakaos-tky@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Endometriosis / complications*,  diagnosis,  surgery*
Female
Humans
Infertility, Female / complications*,  diagnosis,  surgery*
Laparoscopy / methods*
Pregnancy / statistics & numerical data*
Pregnancy Outcome
Sensitivity and Specificity
Surgical Procedures, Minimally Invasive / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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