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- W2034754234 abstract "Objective: In pelvic pain and infertility, deep infiltrative endometriosis is a common laparoscopic finding. Surgical treatment of the disease improves fertility and relieves pelvic pain. In some cases, involvement of the rectovaginal space, vaginal and lateral parametrium, including the ureter, determines the severity of the disease. Appropriate surgical excision of the disease allows improvement of these symptoms. The objective of this study was to analyze, in terms of pain relief, restoration of infertility and surgery related complications, a group of patients that were surgically treated for extensive deep infiltrative endometriosis of the pelvis. Design: This is a retrospective analysis of patients who, between 1998 and 1999, consulted for pain and infertility and who were surgically treated for extensive deep infiltrative endometriosis. Patient follow-up was of at least 12 months. Intra and post-operative complications, pain relief and outcome of pregnancy were recorded. Materials/Methods: Forty six patients were included in the study. Sixteen were considered to have extensive disease including involvement of the cul de sac, rectovaginal space and parametrium. In some of them the ureter was included in the diseased tissue. Eight patients had pelvic pain and infertility, four had only pelvic pain and four had only infertility. Endoscopic surgery was performed according to techniques described by Konnicks and Redwine including ureteral and uterine artery disection, complete separation of the rectovaginal space and in block resection of the diseased tissue. Results: No intraoperative complications were observed. Two patients presented post-op fever, 1 had urinary retention and 1 had pleural effusion. One developed a ureteral fistulae that was surgically corrected. Eleven of the 12 patients had total remission of pain. 50% of patients diagnosed with infertility became pregnant. Conclusions: Complete surgical resection of deep infiltrative endometriosis improves life quality and infertility, even in cases with extensive pelvic disease. Supported By: Unit of Reproductive Medicine, Clinica Las Condes." @default.
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- W2034754234 date "2002-02-01" @default.
- W2034754234 modified "2023-10-18" @default.
- W2034754234 title "Results and complications after surgical treatment of deep infiltrative endometriosis" @default.
- W2034754234 doi "https://doi.org/10.1016/s0015-0282(01)03140-5" @default.
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