Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women - 24/05/20

Doi : 10.1016/j.jogoh.2020.101811

Roberto Clarizia ^a,⁎ , Tommaso Capezzuoli ^b, Matteo Ceccarello ^a , Carlotta Zorzi ^a, Anna Stepniewska ^a, Giovanni Roviglione ^a, Daniele Mautone ^a, Felice Petraglia ^b, Marcello Ceccaroni ^a
^a Department of Obstetrics & Gynecology, Gynecologic Oncology and Minimally Invasive Pelvic Surgery, IRCCS Sacro Cuore Don Calabria Hospital – Negrar (Verona), Italy, International School of Surgical Anatomy, Italy
^b University of Florence, Department of Clinical and Experimental Biomedical Sciences, Italy

^⁎Corresponding author at: Street address: 5, Via Don Angelo Sempreboni, 37024, Negrar di Valpolicella, Italy.Street address: 5Via Don Angelo SempreboniNegrar di Valpolicella37024Italy

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Sunday 24 May 2020
Cet article a été publié dans un numéro de la revue, cliquez ici pour y accéder

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 Outcome Measures

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).