title: Infertile women with deep and intraperitoneal endometriosis: comparison of fertility outcome according to the extent of surgery.
abstract: OBJECTIVE
  This study was undertaken to ascertain whether the incidence of spontaneous pregnancy is increased in infertile women with deep and intraperitoneal endometriosis undergoing extensive surgery compared with those undergoing only intraperitoneal surgery.
  
  
  METHODS
  Retrospective case control study (Canadian Task Force classification II-1).
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  Infertile women under the age of 40 years with deep and intraperitoneal endometriosis and no other associated major infertility factors. Only patients with at least 1 year of postoperative follow-up were included.
  
  
  METHODS
  Intraperitoneal surgery only (group 1) or extensive surgery (group 2) according to a shared decision-making approach.
  
  
  RESULTS
  Among the 34 women in group 1, 6 became pregnant, compared with 8 of the 41 women who had extensive surgery (12-month cumulative probabilities, 24.8% and 11.4%, respectively, and 24-month cumulative probabilities, 24.8% and 23.2%, respectively; p = .82). Perioperative surgical complication rate was higher in group 2 (6/41 versus 0/34; p = .02).
  
  
  CONCLUSIONS
  Extensive surgery for intraperitoneal and deep endometriosis in infertile women does not modify global fertility outcome but is associated with a higher complication rate.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Bichat Claude Bernard Hospital, Paris Diderot University, Paris, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Douay-Hauser
authors.forename: Chadi
authors.initials: C
authors.lastname: Yazbeck
authors.forename: Francine
authors.initials: F
authors.lastname: Walker
authors.forename: Dominique
authors.initials: D
authors.lastname: Luton
authors.forename: Patrick
authors.initials: P
authors.lastname: Madelenat
authors.forename: Martin
authors.initials: M
authors.lastname: Koskas
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D010532:Peritoneal Diseases / Q000150:complications* / Q000601:surgery; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D016896:Treatment Outcome