• Fertility and sterility · May 2011

    Randomized Controlled Trial Comparative Study

    Fertility after colorectal resection for endometriosis: results of a prospective study comparing laparoscopy with open surgery.

    • Emile Daraï, Benedicte Lesieur, Gil Dubernard, Roman Rouzier, Marc Bazot, and Marcos Ballester.
    • Service de Gynécologie-Obstétrique, Hôpital Tenon, Assistance Publique des Hôpitaux de Paris, CancerEst, Université Pierre et Marie Curie, Paris, France. emile.darai@tnn.aphp.fr
    • Fertil. Steril. 2011 May 1;95(6):1903-8.

    ObjectiveTo determine whether the surgical route of colorectal resection for endometriosis is a determinant factor for fertility.DesignProspective study.SettingTertiary-care university hospital.Patient(S)Fifty-two patients with endometriosis were randomly assigned to laparoscopic or open surgery.Intervention(S)Laparoscopically assisted vs. open colorectal resection.Main Outcome Measure(S)Evaluation of fertility outcomes spontaneously and after assisted reproductive therapy.Result(S)The mean follow-up was 29 months. Among the 28 patients wishing to conceive, 11 (39.3%) became pregnant. Overall cumulative pregnancy rate at 52 months for these patients was 45.1%. For patients with or without infertility, the cumulative pregnancy rate was 37.6% and 55.6%, respectively, and the cumulative spontaneous pregnancy rate 13.3% and 36.5%, respectively. All the spontaneous pregnancies were observed in the laparoscopy group.Conclusion(S)This study demonstrates that spontaneous pregnancy is more frequent after laparoscopy compared with open surgery for colorectal endometriosis.Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…