Biomedical subjects
Publications and source records attributed to J D Naples.
We suggest that müllerianosis is a distinct form of endometriosis, separate in its pathogenesis from transplantation endometriosis of lymphatic, hematogenous, transtubal, or iatrogenic origin, and also distinct from endometriosis of coelomic metaplasia.
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Sixty-five infertile patients with moderate or severe endometriosis were treated with conservative surgery. Acosta's classification was used to demonstrate the extent of disease. In 48 women whose partners were normally fertile, 65% conceived, and in 17 whose partners were deficient, 35% achieved pregnancy. The extent of disease, age at the time of surgery, and length of infertility prior to surgery appeared to be significant factors. To intelligently give a prognosis prior to surgery and to achieve maximum pregnancy yield from the surgery, it is important to perform conservative surgery for endometriosis within the context of a complete infertility evaluation.