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Delivery and pregnancy outcome in women with bowel resection for deep endometriosis: a retrospective cohort study
AbstractEndometriosis affects women in reproductive age and can involve bowel in 6–12 % of the patients. In case of bowel occlusion or deep pain, radical laparoscopic
endometriosic surgery associated with bowel resection is rec-ommended. The purpose of this study was to analyze the conception rate, the obstetric complications, and the pregnan-cy outcome. This is a retrospective study; we investigated 51 patients with deep endometriosis who underwent surgical treatment with bowel resection during the period between 2000 and 2007. Among the 30 patients who gave birth to at least one live child after surgery, we considered only the first pregnancy following bowel resection and we investigated th incidence of pregnancy disorders, the gestational age at deliv-ery, the baby birthweight, and the complications related to th different ways of delivery. We compared the results with control group of 93 patients with no previous abdominal sur-gery. The whole group of 51 patients tried to conceive after surgery, and 30 women had at least one pregnancy with the birth of an alive baby. Considering only the first pregnancie after surgery, 6 (20 %) experienced gestational hypertensive disorders, 3 (10 %) had placenta previa, 6 (20 %) had preterm birth (
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