Comparison between laparotomy and operative laparoscopy in the treatment of moderate and severe stages of endometriosis
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This study compared laparotomy and operative laparoscopy for endometriosis, finding laparoscopy achieved better cumulative pregnancy rates and less residual disease.
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Abstract
A retrospective study was designed to compare the results of treatment of moderate and severe stages of endometriosis by laparotomy and by laparoscopy. Patients were divided into three groups: the first consisted of 42 patients treated by laparotomy followed immediately with danazol treatment for 6-9 months; the second, 44 patients treated by operative laparoscopy followed immediately with danazol treatment for 4-6 months; and the third, 62 patients treated by operative laparoscopy followed immediately with danazol treatment for 6-10 weeks. The cumulative pregnancy rate in the laparoscopy groups was better than that of the laparotomy group. Most patients who failed to conceive underwent a second-look laparoscopy for reevaluation. Residual endometriosis and associated adhesions were noticed least in the third group. It is concluded that operative laparoscopy could be efficiently used for the treatment of moderate or even severe endometriosis.
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Cited by (12)
- Robotics as a new surgical minimally invasive approach to treatment of endometriosis: a systematic review 2011
- Conservative surgical management of endometriosis in women with pelvic pain 2006
- Laparoscopic management of endometriosis 2006
- Laparoscopy in Infertility – An Overview 2006
- Radical resection of invasive endometriosis with bowel or bladder involvement--long-term results 2005
- Endometriosis 2003
- Laparoscopic surgery vs. laparotomy management for infertile patients with ovarian endometrioma 1999
- Randomized clinical trial of two laparoscopic treatments of endometriomas: cystectomy versus drainage and coagulation 1998
- The use of GnRH agonists in the treatment of endometriomas with or without drainage 1996
- Pain relief after combined medical and laparoscopic conservative treatment of stage III–IV endometriosis: A comparison with medical therapy 1996
- Laparoscopy Versus Laparotomy in the Treatment of Endometriosis 1995
- CO2 laser laparoscopy 1989
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- europepmc
- last seen: 2026-10-15T06:08:49.021275+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:06:57.459801+00:00
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