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Abstract
The rate of recurrence of endometriosis after treatment has varied from 2% to 47%
in published reports. In order to determine whether a meaningful prognosis for recurrence
can be rendered, 423 patients treated with conservative surgical procedures from 1967
to 1982 were followed as outpatients. From among these, 62 patients underwent reoperation.
Annual rates of recurrence based on findings at reoperation ranged from 0.9% in the
first postoperative year to 13.6% in the eighth postoperative year. The cumulative
3- and 5-year recurrence rates were 13.5% and 40.3%, respectively. Severity of disease
was not predictive of recurrence. Pregnancy did not preclude, but did delay, recurrence.
Forty-seven percent of infertile patients with recurrent endometriosis conceived after
a second conservative operation. Of 20 patients who had a second conservative operation
for endometriosis, 20% required a third laparotomy. This is the first study of postoperative
recurrent endometriosis to utilize a control group and the first to report annual
rates of recurrence and reoperation.
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References
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Article info
Footnotes
☆Central Association Award Paper presented at the Fiftieth Annual Meeting of The Central Association of Obstetricians and Gynecologists, San Antonio, Texas, October 14–16, 1982.
Identification
Copyright
© 1983 Published by Elsevier Inc.
