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Impact of Surgery on Fertility Among Patients with Deep Infiltrating Endometriosis by Maja Raos; Mie Mathiasen; Mikkel Seyer-Hansen is a Medicine article available to read on EtoBox.

What is Impact of Surgery on Fertility Among Patients with Deep Infiltrating Endometriosis about?

Objective The aim of the study was to investigate pregnancy and live birth rate after surgical resection of rectosigmoid deep infiltrating endometriosis (DIE), and study if complications affect these rates. Study design Historical case series. 193 patients with rectosigmoid DIE and pregnancy intention undergoing a rectosigmoid resection for DIE from January 2009 to May 2019. All operations were performed at the Department of Obstetrics and Gynecology, Aarhus University Hospital, Denmark. Surgical and fertility outcome data were obtained through patient files. Anonymized data was analyzed statistically. Normally distributed continuous variables are stated as means, categorical data as percentages and time to pregnancy as Kaplan-Meier failure function. Live birth rates stratified on complications were tested with chi2 test. Results 117 patients became pregnant postoperatively with a pregnancy and live birth rate of 60.6% and 53.9%, respectively. 39 patients (20.2%) became pregnant spontaneously and 78 patients (40.4%) by intrauterine insemination or assisted reproductive technologies. Median time to pregnancy after surgery was 12.4 months (range: 0.4–58). Clavien-Dindo complication g

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Author

Maja Raos; Mie Mathiasen; Mikkel Seyer-Hansen

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)