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Titolo:
Factors affecting postoperative pregnancy rate after endoscopic managementof large endometriomata
Autore:
Milingos, S; Kallipolitis, G; Loutradis, D; Liapi, A; Drakakis, P; Antsaklis, A; Michalas, S;
Indirizzi:
Univ Athens, Sch Med, Dept Obstet & Gynecol 1, GR-11527 Athens, Greece Univ Athens Athens Greece GR-11527 & Gynecol 1, GR-11527 Athens, Greece
Titolo Testata:
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
fascicolo: 2, volume: 63, anno: 1998,
pagine: 129 - 137
SICI:
0020-7292(199811)63:2<129:FAPPRA>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
LAPAROSCOPY; LAPAROTOMY;
Keywords:
pregnancy rate; laparoscopy; endometriomata;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Milingos, S Univ Athens, Sch Med, Dept Obstet & Gynecol 1, GR-11527 Athens, Greece Univ Athens Athens Greece GR-11527 , GR-11527 Athens, Greece
Citazione:
S. Milingos et al., "Factors affecting postoperative pregnancy rate after endoscopic managementof large endometriomata", INT J GYN O, 63(2), 1998, pp. 129-137

Abstract

Objective: To identify factors influencing postoperative pregnancy rate inwomen with extensive endometriosis and large endometriomata as the only identified cause of infertility that were treated by laparoscopy. Method: Sixty-four infertile patients with endometriomata (greater than or equal to 3 cm) and no other apparent cause of infertility. The latter were removed by operative laparoscopy. Life table calculations, the Student's t-test and the chi(2) test were used where appropriate. Result: Thirty-four patients (53%) became pregnant during the 2-year follow-up period. A significantly increased pregnancy rate was found for the first year compared to the second (76 vs. 24%). The existence of adhesions affected adversely the outcome of the operation only as far as early achievement of pregnancy is considered. The number and size of endometriomata and the existence of peritoneal implants have not been found to affect pregnancy rates. The severity of the disease did not affect pregnancy rate, but in the cases with moderate disease most of the pregnancies were achieved during the first postoperative year. Theduration of infertility was significantly associated only at the 10% levelwith decreased pregnancy rates. Conclusion: Extensive endometriosis with large endometriomata can be safely and effectively treated with laparoscopy using the traditional laparoscopic tools providing the infertile patient with a high chance to conceive in a relatively short period of time postoperatively. (C) 1998 International Federation of Gynecology and Obstetrics.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 15:09:32