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Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women.
J Gynecol Obstet Hum Reprod. 2021 Mar; 50(3):101811.JG

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).

CONCLUSIONS

This study seems to confirm an higher prevalence of pelvic inflammatory disease in endometriosis patients. Intra-operative findings of PID with associated endometriosis show more aggressive patterns.

Authors+Show Affiliations

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. Electronic address: roberto.clarizia@gmail.com.University of Florence, Department of Clinical and Experimental Biomedical Sciences, Italy.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. Electronic address: matteo.ceccarello@sacrocuore.it.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.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.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.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.University of Florence, Department of Clinical and Experimental Biomedical Sciences, Italy.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.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32433940

Citation

Clarizia, Roberto, et al. "Inflammation Calls for More: Severe Pelvic Inflammatory Disease With or Without Endometriosis. Outcomes On 311 Laparoscopically Treated Women." Journal of Gynecology Obstetrics and Human Reproduction, vol. 50, no. 3, 2021, p. 101811.
Clarizia R, Capezzuoli T, Ceccarello M, et al. Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women. J Gynecol Obstet Hum Reprod. 2021;50(3):101811.
Clarizia, R., Capezzuoli, T., Ceccarello, M., Zorzi, C., Stepniewska, A., Roviglione, G., Mautone, D., Petraglia, F., & Ceccaroni, M. (2021). Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women. Journal of Gynecology Obstetrics and Human Reproduction, 50(3), 101811. https://doi.org/10.1016/j.jogoh.2020.101811
Clarizia R, et al. Inflammation Calls for More: Severe Pelvic Inflammatory Disease With or Without Endometriosis. Outcomes On 311 Laparoscopically Treated Women. J Gynecol Obstet Hum Reprod. 2021;50(3):101811. PubMed PMID: 32433940.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women. AU - Clarizia,Roberto, AU - Capezzuoli,Tommaso, AU - Ceccarello,Matteo, AU - Zorzi,Carlotta, AU - Stepniewska,Anna, AU - Roviglione,Giovanni, AU - Mautone,Daniele, AU - Petraglia,Felice, AU - Ceccaroni,Marcello, Y1 - 2020/05/17/ PY - 2020/02/14/received PY - 2020/05/05/revised PY - 2020/05/11/accepted PY - 2020/5/21/pubmed PY - 2020/5/21/medline PY - 2020/5/21/entrez KW - Endometriosis KW - Laparoscopy KW - Pelvic inflammatory disease KW - Salpingectomy KW - Tubo-ovarian abscess SP - 101811 EP - 101811 JF - Journal of gynecology obstetrics and human reproduction JO - J Gynecol Obstet Hum Reprod VL - 50 IS - 3 N2 - 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). CONCLUSIONS: This study seems to confirm an higher prevalence of pelvic inflammatory disease in endometriosis patients. Intra-operative findings of PID with associated endometriosis show more aggressive patterns. SN - 2468-7847 UR - https://www.unboundmedicine.com/medline/citation/32433940/Inflammation_calls_for_more:_Severe_pelvic_inflammatory_disease_with_or_without_endometriosis._Outcomes_on_311_laparoscopically_treated_women. L2 - https://linkinghub.elsevier.com/retrieve/pii/S2468-7847(20)30155-0 DB - PRIME DP - Unbound Medicine ER -
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