What’s Now and What’s Next for Surgical Endometriosis Management in the Infertile Patient? An Evidence-Based Review for the General OB/GYN

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada Pub Date : 2024-09-18 DOI:10.1016/j.jogc.2024.102645

Steven R. Lindheim MD MMM , Nicolas Johnson MD , Kira Eickman BS , Belinda Kohl-Thomas MD , Rebecca Flyckt MD

引用次数: 0

Abstract

Endometriosis is a significant contributor to female infertility, and its complex nature and varied phenotypes lead to questions regarding the value of surgical management. In this manuscript, we summarize current evidence and recommendations regarding surgical treatment for infertility in peritoneal disease, endometriomas, adenomyosis, and deep endometriosis, and highlight recent evidence regarding perinatal outcomes in women with endometriosis. Our purpose is to provide a concise “user’s guide” for decisions regarding the surgical management of endometriosis in patients with infertility and generate awareness of recent perinatal outcome data.

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不孕症患者子宫内膜异位症手术治疗的现状与未来：面向普通妇产科医生的循证综述。

子宫内膜异位症是导致女性不孕的重要原因之一，其复杂的性质和不同的表型导致了有关手术治疗价值的问题。在本手稿中，我们总结了目前有关腹膜疾病、子宫内膜异位症、子宫腺肌症和深部子宫内膜异位症不孕症手术治疗的证据和建议，并着重介绍了有关子宫内膜异位症妇女围产期结局的最新证据。我们的目的是提供一份简明扼要的 "用户指南"，帮助不孕症患者做出有关子宫内膜异位症手术治疗的决定，并提高对最新围产期结果数据的认识。摘要：子宫内膜异位症是导致女性不孕的一个重要因素；其复杂的性质和不同的表型使人们对手术治疗的价值产生疑问。在本手稿中，我们总结了腹膜疾病、子宫内膜异位症、子宫腺肌症和深部子宫内膜异位症不孕症手术治疗的现有证据和建议，并着重介绍了有关子宫内膜异位症女性围产期结局的最新证据。我们的目标是提供一份简明的 "用户指南"，指导不孕症患者对子宫内膜异位症进行手术治疗的决策，并强调有关围产期结局的最新证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of obstetrics and gynaecology Canada OBSTETRICS & GYNECOLOGY-

CiteScore

3.30

自引率

5.60%

发文量

302

审稿时长

32 days

期刊介绍： Journal of Obstetrics and Gynaecology Canada (JOGC) is Canada"s peer-reviewed journal of obstetrics, gynaecology, and women"s health. Each monthly issue contains original research articles, reviews, case reports, commentaries, and editorials on all aspects of reproductive health. JOGC is the original publication source of evidence-based clinical guidelines, committee opinions, and policy statements that derive from standing or ad hoc committees of the Society of Obstetricians and Gynaecologists of Canada. JOGC is included in the National Library of Medicine"s MEDLINE database, and abstracts from JOGC are accessible on PubMed.