A Study of Outcomes after Endoscopic Surgery for Patients of Reproductive Age

Abstract

Objective: To assess infertility treatment and perinatal outcomes after endoscopic surgery for patients of reproductive age.
Methods: We investigated the backgrounds of 157 patients in regard to post-operative diagnosis, surgical procedure, and surgical complications. Moreover, we investigated infertility treatment and perinatal outcomes in 36 pregnant women and examined infertility treatment and perinatal outcomes in 11 patients with surgical complications.
Results: In about half of the cases, the post-operative diagnosis was an ovarian cyst (primarily endometriotic or dermoid cysts). Blood transfusion and further surgery were not necessary in 11 cases with operative complications. Following surgery, a total of 36 cases involved conception following infertility treatment.. Among 19 patients that delivered, eight underwent a cesarean section. The indication for cesarean section was breech presentation in five women. Four women who suffered operative complication underwent infertility treatment; two of them conceived and delivered by cesarean section. The surgical complication of one case was uterine perforation by a uterine manipulator; that of one other was abdominal bleeding postoperatively.
Conclusions: We found no severe adverse outcomes, including perinatal outcomes, or impact on infertility treatment following endoscopic surgery for women of reproductive age. Further investigation regarding ovarian reserve is necessary to confirm the impact of endoscopic surgery on infertility treatment and perinatal outcome for these women.