Association Between Pre-Conception Surgery for Deep Endometriosis and Adverse Obstetric Outcomes: A Retrospective Cohort Study

The authors aimed to determine whether pre-conception surgery for deep endometriosis (DE) is linked to adverse obstetric outcomes compared to conservative management. Their retrospective cohort study found that women who underwent surgery experienced significantly higher rates of composite adverse obstetric outcomes, including complications such as placenta previa and gestational hypertensive disorders, though fetal and neonatal outcomes were similar between the groups. The authors caution that these findings indicate an association rather than causation due to the study's observational nature and differences in disease severity.