dc.contributor.author
Dückelmann, Anna Maria
dc.contributor.author
Taube, Eliane
dc.contributor.author
Abesadze, E.
dc.contributor.author
Chiantera, V.
dc.contributor.author
Sehouli, Jalid
dc.contributor.author
Mechsner, Sylvia
dc.date.accessioned
2023-06-28T13:43:54Z
dc.date.available
2023-06-28T13:43:54Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/39920
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-39642
dc.description.abstract
Purpose: To 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.
Methods: Using 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.
Results: Laparoscopic 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.
Conclusion: According 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.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Peritoneal endometriosis
en
dc.subject
Peritonectomy
en
dc.subject
Laparoscopic surgery
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
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
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s00404-021-05971-6
dcterms.bibliographicCitation.journaltitle
Archives of Gynecology and Obstetrics
dcterms.bibliographicCitation.number
1
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.pagestart
143
dcterms.bibliographicCitation.pageend
155
dcterms.bibliographicCitation.volume
304
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
33537880
dcterms.isPartOf.issn
0932-0067
dcterms.isPartOf.eissn
1432-0711