Comparison of Laparoscopy with Laparotomy for the Treatment of Extensive Endometriosis with Large Endometriomata

ABSTRACT The purpose of this study was to compare the surgical management and pregnancy rates in women with advanced endometriosis and endometriomata who were treated either by endoscopic surgery or by microsurgery at laparotomy. Two groups were studied. Group A consisted of 70 patients with moderate or severe endometriosis and at least one endometrioma who underwent microsurgery via laparotomy. Group B consisted of 32 similar patients who underwent advanced operative laparoscopy. Pregnancy rates and the monthly fecundity for 2 years postoperatively were comparable in the two groups, but the blood loss at operation, the length of hospital stay, and the recovery time of the patients were significantly lower in the laparoscopy group. (J GYNECOL SURG 15:131, 1999)