Here’s a study that investigated the need for additional surgery after laparoscopy or hysterectomy in the treatment of endometriosis. The information gathered may want you to think twice before you go under the knife to treat your condition.
Women treated with hysterectomy had significantly fewer postsurgical reoperations than women treated with “conservative” surgery, the team reports in the journal Obstetrics & Gynecology.
The failure rate was more than twofold higher with conservative local surgery in comparison with hysterectomy without removal of the ovaries. The failure rate was more than sixfold higher with conservative local surgery in comparison with hysterectomy with removal of the ovaries.
In comments to Reuters Health, Falcone said, “Endometriosis is a chronic disease with a high recurrence after laparoscopic surgery. We need better treatment.”
Among women who had local excision with ovarian preservation (at least one ovary was preserved), 79 percent were “reoperation-free” at 2 years. At 5 and 7 years, 53 percent and 45 percent, respectively, were reoperation-free.
Among women who had hysterectomy without ovary removal, the 2-, 5- and 7-year reoperation-free percentages were higher (96 percent, 87 percent, and 77 percent, respectively). Among women who underwent hysterectomy with removal of the ovaries, the reoperation-free percentages were 96 percent, 92 percent and 92 percent, respectively.
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