The Surgical Benefit of Hysterolaparoscopy in Endometriosis-Related Infertility: A Single Centre Retrospective Study with a Minimum 2-Year Follow-Up
Autor: | Árpád Rúcz, Ágnes Koppán, Atombosoba Adokiye Ekine, Sára Jeges, Miklós Koppán, István Fülöp, István Tekse |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Infertility
endometriosis medicine.medical_specialty medicine.medical_treatment media_common.quotation_subject Endometriosis lcsh:Medicine Fertility hysterolaparoscopy surgery Review 03 medical and health sciences 0302 clinical medicine Quality of life medicine 030212 general & internal medicine media_common Pregnancy 030219 obstetrics & reproductive medicine Obstetrics business.industry Artificial insemination lcsh:R Retrospective cohort study General Medicine medicine.disease quality of life pregnancy Live birth business infertility |
Zdroj: | Journal of Clinical Medicine, Vol 9, Iss 2, p 507 (2020) Journal of Clinical Medicine |
ISSN: | 2077-0383 |
Popis: | Aim: This study examined the fertility performance of women after combined hysterolaparoscopic surgical management of endometriosis. Design: This study is a hospital-based retrospective review. Materials and Methods: Data collected from the records of all patients presented with endometriosis-related infertility using a checklist designed for the purpose. Result: A total of 81.3% (370/455) of women who have had the desire to have children became pregnant during the study period after the surgery. Of those who became pregnant, all three-hundred-forty-seven patients were followed to the end of their pregnancies. A successful live birth occurred in 94.2% (327/347) of individuals, and pregnancy loss occurred in 5.8% (20/347). The mean patient age was 34.1 ± 4.1 years, and the average duration of infertility was 3.4 ± 3.3 years. Pregnancy occurred spontaneously in 39.5% (146/370) of patients, after artificial insemination (AIH) in 3.8% (14/370) of women, and after in vitro fertilization-embryo transfer (IVF-ET) in 56.8% (210/370) of cases. Patients aged ≤ 35 years had a higher chance of conception post-surgery—84% versus 77%, respectively (p = 0.039). Based on the modes of pregnancy, the timely introduction of an assisted reproductive technique (ART) demonstrated a significant effect on fertility performance postsurgery. Comparatively, this effect was 91.3% vs. 74.1% among the ≤35- and >35-year-old age groups, respectively. There was no significant difference in reproductive performance based on stages of endometriosis, nor in the other parameters evaluated. Conclusion: Our data are consistent with previous clinical studies regarding the management options of endometriosis-related infertility. Overall, the combined hysterolaparoscopy treatment is a very effective and reliable procedure, and is even more effective when combined with ART. It enhances women’s wellbeing and quality of life, and significantly improves reproductive performance. |
Databáze: | OpenAIRE |
Externí odkaz: | |
Nepřihlášeným uživatelům se plný text nezobrazuje | K zobrazení výsledku je třeba se přihlásit. |