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Cited by 359

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

Laparoscopic surgery for subfertility associated with endometriosis

Jacobson, Tal Z, Duffy, James MN, Barlow, David H, Farquhar, Cindy, Koninckx, Philippe R, Olive, David·2010·Cochrane Database of Systematic Reviews

Abstract

BACKGROUND: Endometriosis is the presence of endometrial glands or stroma in sites other than the uterine cavity. It is variable in both its surgical appearance and clinical manifestation, often with poor correlation between the two. Surgical treatment of endometriosis aims to remove visible areas of endometriosis and restore anatomy by the division of adhesions. OBJECTIVES: To assess the efficacy of laparoscopic surgery in the treatment of subfertility associated with endometriosis. The review aims to compare outcomes of laparoscopic surgical interventions compared to no treatment or medical treatment with regard to improved fertility. SEARCH STRATEGY: We searched the Cochrane Menstrual Disorders and Subfertility Group Specialised Register of trials (June 2009), Cochrane Central Register of Controlled Trials (The Cochrane Library 2009, Issue 2), MEDLINE (1966 to June 2009), EMBASE (1980 to June 2009), and reference lists of articles. SELECTION CRITERIA: Trials were selected if they were randomised and compared the effectiveness of laparoscopic surgery in the treatment of subfertility associated with endometriosis versus other treatment modalities or placebo. DATA COLLECTION AND ANALYSIS: Two studies were eligible for inclusion within the review. Both studies compared laparoscopic surgical treatment of minimal and mild endometriosis compared with diagnostic laparoscopy only. The recorded outcomes included live birth, pregnancy, fetal losses, and complications of surgery. MAIN RESULTS: When combining live birth rate and ongoing pregnancy after 20 weeks, meta-analysis demonstrated an advantage of laparoscopic surgery when compared to diagnostic laparoscopy only. The odds ratio (OR) was 1.64 (95% confidence interval (Cl) 1.05 to 2.57) in favour of laparoscopic surgery. Meta-analysis also demonstrated an advantage of laparoscopic surgery when compared to diagnostic laparoscopy only in terms of clinical pregnancy rates, with an OR of 1.66 (95% Cl 1.09 to 2.51) favouring laparoscopic surgery. The results still need to be interpreted with caution as Marcoux 1997 reported a large positive effect of surgery whereas Gruppo Italiano reported a small negative effect. When considering fetal losses, meta-analysis did not demonstrate an effect of laparoscopic surgery when compared to diagnostic laparoscopy only. The OR was 1.33 (95% Cl 0.60 to 2.94) favouring diagnostic laparoscopy only. AUTHORS' CONCLUSIONS: The use of laparoscopic surgery in the treatment of subfertility related to minimal and mild endometriosis may improve future fertility.

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Research works printed but not linked: 13

  1. 1999, Ablation of lesions or no treatment in minimal-mild endometriosis in infertile women: a randomized trial, Human Reproduction, 14, 1332, 10.1093/humrep/14.5.1332 · DOI · Paper page
  2. Berube, 1998, Fecundity of infertile women with minimal or mild endometriosis and women with unexplained infertility, Fertility and Sterility, 69, 1034, 10.1016/S0015-0282(98)00081-8 · DOI
  3. Beretta, 1998, Randomized clinical trial of two laparoscopic treatments of endometriomas: cystectomy versus drainage and coagulation, Fertility and Sterility, 70, 1176, 10.1016/S0015-0282(98)00385-9 · DOI · Paper page
  4. Cooke, 1989, The medical treatment of mild endometriosis, Acta Obstetricia et Gynecologica Scandinavica Supplementum, 150, 27, 10.1111/aogs.1989.68.s150.27 · DOI
  5. Soysal, 2001, Laparoscopically assisted definitive treatment of severe endometriosis, International Journal of Gynaecology and Obstetrics, 72, 191, 10.1016/S0020-7292(00)00361-1 · DOI
  6. Whitelaw, 1993, Assessing the efficacy of laser laparoscopy in the treatment of endometriosis, Journal of Obstetrics and Gynaecology, 13, 486
  7. Adamson, 1994, Surgical treatment of endometriosis-associated infertility: meta-analysis compared with survival analysis, American Journal of Obstetrics and Gynaecology, 171, 1488, 10.1016/0002-9378(94)90392-1 · DOI · Paper page
  8. 1985, Revised American Fertility Society classification of endometriosis, Fertility and Sterility, 43, 351, 10.1016/S0015-0282(16)48430-X · DOI · Paper page
  9. Berube, 1998, Fecundity of infertile women with minimal or mild endometriosis and women with unexplained infertility, Fertility and Sterility, 69, 1034, 10.1016/S0015-0282(98)00081-8 · DOI
  10. 1994, Prevalence and anatomical distribution of endometriosis in women with selected gynaecological conditions: results from a multicentric Italian study, Human Reproduction, 6, 1158
  11. Hughes, 1998, Ovulation Suppression for Endometriosis, Cochrane Database of Systematic Reviews
  12. Sutton, 1994, Prospective, randomized, double blind, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild and moderate endometriosis, Fertility and Sterility, 62, 696, 10.1016/S0015-0282(16)56990-8 · DOI · Paper page
  13. Vercellini, 2009, Surgery for endometriosis-associated subfertility: a pragmatic approach, Human Reproduction, 24, 254, 10.1093/humrep/den379 · DOI · Paper page

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Metadata

Authors
Jacobson, T. Z., Duffy, J. M., Barlow, D. H., Farquhar, C., Koninckx, P. R., & Olive, D.
Venue
Cochrane Database of Systematic Reviews
Published
2010-01-20
Issue
1
Pages
CD001398-CD001398
ISSN
1361-6137 (ISSN-L)
OpenAlex
W1831658672
Cited by
359
References
4
Type
reference entry
Language
en
Status
Retracted
Open access
closed

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CoChat. (2026). Citation check: Laparoscopic surgery for subfertility associated with endometriosis. https://app.cochat.ai/papers/10.1002/14651858.cd001398.pub2
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Jacobson, T. Z., Duffy, J. M., Barlow, D. H., Farquhar, C., Koninckx, P. R., & Olive, D. (2010). Laparoscopic surgery for subfertility associated with endometriosis. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd001398.pub2

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