Laparoscopic surgery for endometriosis

Study of endometriosis in women of reproductive age, laparoscopic management and its outcome

“…A more recent meta-analysis revealed that the pregnancy rate increases after laparoscopic ablation in women with stage 1 and 2 endometriosis. 21,22 Laparoscopic cystectomy for ovarian endometrioma (size more than 3-4cm: stage 3 and 4) results in improvements in pregnancy rates as compared with cyst drainage and coagulation. 23,24 In our study too we found a better outcome with cystectomy.…”

The Effect of Laparoscopy Performed Before Intrauterine Insemination on the Pregnancy Rates

“…21 Bunun yanında minimal ve hafif endometriyozun cerrahi tedavisinin infertil hastalarda fekunditeyi artırdığına dair kanıtlar mevcuttur. 22,23 Laparoskopik ablasyon uygulanan ve hiç tedavi verilmeyen minimal ve hafif endometriyozlu infertil kadınların olduğu geniş bir randomize çalışmada Marcoux ve ark., tedavi grubunda fekunditenin ikiye katlandığını göster-mişlerdir. 24 İnfertil hastalarda peritubal adezyonların prevalansı %8,8-46 arasındadır.…”

The Diagnosis and Management of Severe Endometriosis

“…Hormonal treatment is not an option in this group as this does not improve fertility and may cause further delays in surgical and assisted reproductive treatments that are known to potentially improve fertility. 4 The benefit of surgical treatment to improve fertility in patients with endometriosis is well established in the literature by three Cochrane reviews [44][45][46] and the European Society of Human Reproduction and Embryology (ESHRE) guidelines on endometriosis. 4 In women with minimal to mild endometriosis, there is evidence that operative laparoscopy significantly improves chances of conception.…”

“…4 In women with minimal to mild endometriosis, there is evidence that operative laparoscopy significantly improves chances of conception. 45 It is suggested that where possible this could be done at the time of initial laparoscopy. What remains unclear to date is the comparative surgical effectiveness of the various treatment techniques.…”