Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women.
J Gynecol Obstet Hum Reprod
; 50(3): 101811, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-32433940
ABSTRACT
OBJECTIVE:
To study possible associations between endometriosis and pelvic inflammatory disease (PID).DESIGN:
Retrospective cohort analysis over 14 consecutive years, based on medical records and insurance coding in a tertiary care endometriosis reference center.SETTING:
Tertiary care reference center for endometriosis. PATIENTS Retrospective analysis on all women submitted to laparoscopy in our Unit MAIN OUTCOMEMEASURES:
Intra-operative data about complications and fertility-impairing procedures, intra-, peri- and post-operative complications.INTERVENTIONS:
Retrospective disease codes-triggered chart analysis.RESULTS:
The study population was divided into two groups Group 1 included women with PID and no endometriosis (n = 115); Group 2 included women with PID and endometriosis (n = 96). Endometriosis had a prevalence of 63 % in patients submitted to surgery for PID, significantly higher than the one reported in general population and than the one reported in a Tertiary Care Endometriosis Unit. A significantly higher number of salpingectiomes was needed in group 2 patients (208 versus 80, p < 0.0001).CONCLUSIONS:
This study seems to confirm an higher prevalence of pelvic inflammatory disease in endometriosis patients. Intra-operative findings of PID with associated endometriosis show more aggressive patterns.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença Inflamatória Pélvica
/
Laparoscopia
/
Endometriose
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Gynecol Obstet Hum Reprod
Ano de publicação:
2021
Tipo de documento:
Article