Second-look laparoscopy in the treatment of endometriosis

L. Fedele, P. Vercellini, T. Viezzoli, M. Marchini, G. B. Candiani

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The results of second-look laparoscopy were compared with subjective symptomatology and findings at pelvic exploration in 36 patients who had received conservative treatment for endometriosis. In the 14 patients given pharmacologic treatment, second-look laparoscopy demonstrated active endometriosis in 57.1%, whereas pelvic pain was present in 64.3% and gynecologic examination was positive in 28.6%. In the 22 patients who underwent surgery, active endomdetriosis was detected by second-look laparoscopy in 31.8%, whereas 40.9% reported pelvic pain and pelvic examination was positive in 31.8%. Thus clinical signs and symptoms were unreliable in the diagnosis of endometriosis recurrence, whereas laparoscopy was indispensable. It should be programmed for 6 months from the end of medical treatment and 12 months after surgery, however, if the pain symptomatology recurs, then laparoscopy is performed immediately.

Original languageEnglish
Pages (from-to)237-240
Number of pages4
JournalInternational Journal of Fertility
Issue number4
Publication statusPublished - 1988

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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