Spontaneous pregnancy rate following surgery for deep infiltrating endometriosis in infertile women: The impact of the learning curve
| Autor: | Ninon Dupuis, Paul Guerby, Fabien Vidal, Yann Tanguy le Gac, Florence Lesourd, Géraldine Cartron, Cynthia Simon, Jean Parinaud |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Pregnancy Rate media_common.quotation_subject Endometriosis Fertility Single Center Body Mass Index 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy medicine Humans Stage (cooking) media_common Retrospective Studies Surgeons 030219 obstetrics & reproductive medicine Obstetrics business.industry Obstetrics and Gynecology Retrospective cohort study medicine.disease Prognosis Reproductive Medicine 030220 oncology & carcinogenesis Population study Female Laparoscopy Live birth business Body mass index Infertility Female Live Birth Learning Curve |
| Zdroj: | Journal of gynecology obstetrics and human reproduction. 50(1) |
| ISSN: | 2468-7847 |
| Popis: | Objectives To determine whether the surgical learning curve impact the spontaneous pregnancy rate in infertile patients undergoing removal of deep infiltrating endometriosis Material and Methods Single center retrospective study including the first 50 consecutive infertile women suffering from deep infiltrating endometriosis and referred to a single surgeon. All patients underwent laparoscopic removal of deep endometriosis lesions. The study population was stratified in two subgroups, namely the early group (including the first 25 cases) and the late group (comprising the 25 subsequent cases). Pregnancy and live birth rates, surgical morbidity and clinical recurrence rate were compared between study groups. Results Overall, spontaneous pregnancy rate (40 % in the early group versus 56 % in the late group, p = 0.25), live birth rate (40 % versus 44 %, p = 0.77) and clinical recurrence rate (16 % versus 4%, p = 0.16) did not significantly differ between the study groups. Logistic regression analysis revealed that ASRM stage, EFI score, and body mass index were the only significant prognostic factors of postoperative spontaneous fertility. Conclusion Surgical resection of deep infiltrating endometriosis in infertile women is associated with high spontaneous pregnancy and live birth rates. The surgeon’s learning curve does not impact postoperative fertility outcomes. |
| Databáze: | OpenAIRE |
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