ArticleArchives of gynecology and obstetrics2021
When and how should peritoneal endometriosis be operated on in order to improve fertility rates and symptoms? The experience and outcomes of nearly 100 cases.
Article in Archives of gynecology and obstetrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 36 citations in OpenAlex.
- Hybrid argon plasma coagulation (HybridAPC) versus sharp excision for the treatment of endometriosis: a prospective randomized clinical trial.Archives of gynecology and obstetrics · 2023Trial
- Endometriosis and Endometrial Cancer-Association Between Biological Mechanisms and Its Clinical Implications.Journal of clinical medicine · 2026Review
- Evaluating the impact of cannabinoid extracts on chronic pain and quality of life in endometriosis patients - a pilot study.PloS one · 2026Observational
- Multiple lesions of endometriosis in the small intestine treated by the shaving technique: A case report.Case reports in women's health · 2025Article
- Combine Surgery and In Vitro Fertilization (IVF) in Endometriosis-Related Infertility: When and Why.Journal of clinical medicine · 2024Review
- Management of patients with endometriosis and infertility: laparoscopic treatment and spontaneous pregnancy rate.JBRA assisted reproduction · 2024Article
- The Impact of Laparoscopic Surgery on Fertility Outcomes in Patients with Minimal/Mild Endometriosis.Journal of clinical medicine · 2024Review
- Evaluating the Correlation between Myofascial Pelvic Pain and Female Sexual Function: A Prospective Pilot Study.Journal of clinical medicine · 2024Article
- A Preliminary Investigation of the Roles of Endometrial Cells in Endometriosis Development via In Vitro and In Vivo Analyses.International journal of molecular sciences · 2024Article
- Superficial Peritoneal Endometriosis Vaporization Using a COJournal of clinical medicine · 2024Article
- Pelvic floor hypertension: possible factors for pelvic floor tenderness in endometriosis patients-a pilot study.Archives of gynecology and obstetrics · 2023Article
- [Holistic treatment of endometriosis].Schmerz (Berlin, Germany) · 2023Review
- Endo Belly: What Is It and Why Does It Happen?-A Narrative Review.Journal of clinical medicine · 2023Review
- Mechanisms of peripheral sensitization in endometriosis patients with peritoneal lesions and acyclical pain.Archives of gynecology and obstetrics · 2023Article
- Article
- Endometriosis and Opioid Receptors: Are Opioids a Possible/Promising Treatment for Endometriosis?International journal of molecular sciences · 2023Review
- Effectiveness of gonadotrophin-releasing hormone agonist therapy to improve the outcomes of intrauterine insemination in patients suffering from stage I-II endometriosis.Annals of medicine · 2022Article
- Factors Associated with Increased Analgesic Use in German Women with Endometriosis during the COVID-19 Pandemic.Journal of clinical medicine · 2022Article
- Determinants of Pain-Induced Disability in German Women with Endometriosis during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Neurogenic Inflammation in the Context of Endometriosis-What Do We Know?International journal of molecular sciences · 2021Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo analyze the follow-up results of patients suffering from symptomatic early-stage endometriosis after a consistent laparoscopic peritoneal stripping of the altered peritoneum (peritoneal endometriosis and surrounding inflamed tissue) was performed. This type of endometriosis is resistant to medical therapy and/or impairs fertility.
methodsUsing our prospectively maintained database, we were able to identify all symptomatic women with the suspicion of only peritoneal endometriosis who underwent laparoscopy at our endometriosis center over a period of 5 years. All procedures were carried out in a standardized fashion by one single surgeon, who is highly experienced in minimal invasive surgery, and included a suspended hormonal pretreatment for 2 months. Postoperative outcomes including complications, fertility and recurrence rates were analysed.
resultsLaparoscopic peritonectomy was performed on 94 women. Follow-up data were available in 87% of these cases. At the time of surgery, almost all patients tested showed signs of stage I or II endometriosis (44.7 and 48.9%, respectively). More than three-quarters of the women reported pain relief, inter alia, due to the post-surgical hormonal therapy. About one-third of the patients wanted to have children after the procedure. 62% of them became pregnant and the majority did so without the need for assisted reproductive therapy. In seven women a re-operation was performed.
conclusionAccording to our data, a consistent excision of altered peritoneum followed by adjuvant hormonal therapy and multimodal concepts results in better outcomes for the patient, particularly in regards to pregnancy and recurrence rates.
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