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Delivery after Operation for Deeply Infiltrating Endometriosis
Christina Allerstorfer1, Peter Oppelt1, Simon H Enzelsberger1
1Department of Obstetrics and Gynecology, Kepler University Clinic, Campus IV, Krankenhausstrasse 26-30, 4020 Linz, Austria.
Biomed Research International
|August 13, 2016
Summary
Women with deeply infiltrating endometriosis who had surgery did not experience increased risks of adverse pregnancy outcomes or labor complications, including perineal lacerations.
Area of Science:
- Reproductive Medicine
- Surgical Gynecology
Background:
- Endometriosis is a condition that may lead to pregnancy complications.
- Deeply infiltrating endometriosis (DIE) requires surgical intervention.
Purpose of the Study:
- To assess the risk of adverse pregnancy outcomes in women with histologically confirmed endometriosis.
- To evaluate labor complication rates in women following surgery for deeply infiltrating endometriosis.
Main Methods:
- A survey of 51 women who underwent surgery for deeply infiltrating endometriosis.
- Analysis of delivery modes and complications in women who gave birth after surgery.
Main Results:
- No cases of severe perineal or vaginal lacerations were reported.
- 4.0% preterm delivery rate and 2.0% premature rupture of membranes.
- Cesarean section was performed in 39.2% of deliveries.
Conclusions:
- This study is the first to describe delivery outcomes after surgery for deeply infiltrating endometriosis.
- Surgery for DIE does not appear to elevate the risk of perineal or vaginal lacerations during childbirth.
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