Ep84: Excision Surgery for Endometriosis. Part 3

Updated 4/2023. We finalize our excision series by speaking about how endometriosis rates of recurrence for excision vary throughout the literature, and some factors that can play a role into why there is such a difference in recurrence rates among studies. We also talk about fears we might have about endo recurrence, studies looking at quality of life increases post-excision, and access to excision.

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Why excision is recommended. Article from Nancy’s Nook.

–Cindy M. Mosbrucker MD, David B. Redwine MD. The Cost Effectiveness of Surgical Excision of Endometriosis: an unpublished study. Endometriosis Institute of Oregon.

–Gurkan Bozdag. Recurrence of Endometriosis: Risk Factors, Mechanisms and Biomarkers. Women’s Health, Volume: 11 issue: 5, page(s): 693-699. Article first published online: September 12, 2016; Issue published: September 1, 2015. https://doi.org/10.2217/whe.15.56

–Francisco Carmona, Angeles Martínez-Zamora, Xavier González, Angeles Ginés, Laura Buñesch, Juan Balasch. Does the learning curve of conservative laparoscopic surgery in women with rectovaginal endometriosis impair the recurrence rate? Fertility and Sterility. Volume 92, ISSUE 3, P868-875, September 2009. DOI:https://doi.org/10.1016/j.fertnstert.2008.07.1738

–N.M. Donnellan,I.R. Fulcher,N.B. Rindo. Self-Reported Pain and Quality of Life Following Laparoscopic Excision of Endometriosis as Measured Using the Endometriosis Health Profile-30: A 5 Year Follow-Up Study. Journal of Minimally Invasive Gynecology. November–December 2018. https://doi.org/10.1016/j.jmig.2018.09.089

–Luigi Fedele, M.D., Stefano Bianchi, M.D., Giovanni Zanconato, M.D., Valentino Bergamini, M.D., Nicola Berlanda, M.D., Luca Carmignani, M.D. Long-term follow-up after conservative surgery for bladder endometriosis. Fertility and Sterility. Volume 83, ISSUE 6, P1729-1733, June 01, 2005. DOI:https://doi.org/10.1016/j.fertnstert.2004.12.047

–Abbott JA, Hawe J, Clayton RD, Garry R. The effects and effectiveness of laparoscopic excision of endometriosis: a prospective study with 2-5 year follow-up. Hum Reprod. 2003 Sep;18(9):1922-7. doi: 10.1093/humrep/deg275. PMID: 12923150.

Pain Relief after Excision of All Endometriosis. On Center for Endometriosis Care’s website.