Page 15 - World Journal of Laparoscopic Surgery

Role of Laparoscopic Surgery in Endometriosis Associated Infertility—Literature Review

RESULTS The studies in the Table 2 include observational studies,
Table 2 shows the various studies which looked for the effect randomized controlled studies and non randomized studies
of laparoscopic surgery on endometriosis associated infertility. which can be retrospective or prospective in nature.

TABLE 2: Laparoscopic surgery on endometriosis associated infertility
Author Sample Classification Selection criteria Intervention Follow-up Outcome
size PR LBR MR ER
Martin 1985 50 Endometriosis, Lap CO 2 laser 7-19 months 60% (1) (1)
(abstract only) Other infer
factors

Seiler et al 1986 90 Acosta Moderate endomet Lap electrocautery, 7 months 44%
Danazol 39%
Martin 1986 115 Endometriosis, Lap CO laser 12-44 months 48% 69% 28% 1%
2
(abstract only) Other infer factors
Donnez 1987 124 Acosta Endometriosis Lap laser, 18 months 52% (3/124) nil
Adnexal adhesion adhesiolysis

Sutton et al 1990 56 rAFS Endometriosis alone Lap laser 1-6 years 80% 69%
Adamson et al 1992 27 rAFS Endometriosis Laparoscopy, 2 years 29.6%
Other infer factors Laparotomy 23.7%
Dlugi et al 1992 74 rAFS Endometriosis Lap KTP laser 24 months 38%
Other infer factors

Hull et al 1992 Severe Lap laser, 2 years 50%
Endometriosis Laparotomy

Adamson et al 575 rAFS Endometriosis Laparoscopy, > 3 years 82%
1993 Other infer Laparotomy, no or
Factors Medical treatment

Hughes et al Acosta Endometriosis Laparoscopy,
1993 rAFS Endometrioma Laparotomy
Adamson and Acosta Endometriosis Laparoscopy, 3 years 44+/-6%
Pasta 1994 rAFS Endometrioma Laparotomy 52+/-9%
Beretta et al 64 rAFS Endometrioma Lap Excision, 24 months 66.7%
1998 >/ = 3 cm Lap coagulation 23.5%

Hemmings et al 156 rAFS Endometrioma >3cm Lap Excision, 36 months 60%
1998 Stage 3 and Lap ablate
4 endometr
Laparotomy
Milingos et al 64 rAFS Endometrioma Lap cystectomy 2 year 53%
1998 >/ = 3 cm Adhesiolysis

Chapron et al 1999 30 rAFS Endometriosis only Lap resect, ablate 12 months 46% (12) (3)
Maruyama et al 186 rAFS Endometriosis Lap excision, 18 months 27.6%
2000 Tubal adhesion +/- tubal adhesiolysis
Contd...

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