Short-term outcome of fertility-sparing laparoscopic excision of deeply infiltrating pelvic endometriosis performed in a tertiary referral center.
OBJECTIVE
To examine the short-term surgical outcomes in women undergoing fertility-sparing laparoscopic excision of deeply infiltrating pelvic endometriosis.


METHODS
Retrospective cohort study.


METHODS
Tertiary referral center for treatment of endometriosis, a university teaching hospital, London, United Kingdom.


METHODS
A total of 177 women who underwent fertility-sparing laparoscopic excision of deeply infiltrating endometriosis between January 1, 2006, and December 31, 2007.


METHODS
Eligible women were identified from the surgeons' database, and their medical notes were reviewed. Data from preoperative assessment, surgery, and postoperative outcomes were analyzed.


METHODS
Complication rate.


RESULTS
One hundred seventy-seven women underwent fertility-sparing laparoscopic excision of deeply infiltrating endometriosis including excision of uterosacral ligaments (43, 24.3%), excision of rectovaginal septum (56, 31.6%), rectal shave (56, 31.6%), disk excision (7, 4%) or bowel resection (15, 8.5%). The median operative time was 95 minutes with a range of 30 to 270 minutes (interquartile range 75-120 minutes). Overall, complications developed in 18 women (10.2%). In 12 (6.8%) of these only uncomplicated pyrexia developed whereas significant intraoperative and/or postoperative complications developed in the remaining 6 (3.4%). Women spent a median of 2 days recovering in hospital (range 1-7, interquartile range 2-3 days).


CONCLUSIONS
Fertility-sparing laparoscopic excision of deeply infiltrating endometriosis appears to be safe with a low short-term complication rate.
Pandis
George K
GK
Institute of Women's Health, University College London Hospitals, London, United Kingdom.
Saridogan
Ertan
E
Windsor
Alastair C J
AC
Gulumser
Cagri
C
Cohen
C Richard G
CR
Cutner
Alfred S
AS
D000328:Adult; D004715:Endometriosis / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005298:Fertility; D006785:Hospitals, University; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D010535:Laparoscopy / Q000009:adverse effects*; D007902:Length of Stay; D008131:London; D010348:Patient Care Team; D010388:Pelvis; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome