{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:36:34Z","timestamp":1787312194766,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,5,28]],"date-time":"2017-05-28T00:00:00Z","timestamp":1495929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Reduced fertility is a major concern in women with endometriosis. The influence of surgery of deep infiltrating endometriosis (\n                      <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content>\n                      ) affecting the bowel wall on fertility is controversial and the literature on this field is heterogeneous. In this review we addressed whether surgery for bowel\n                      <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content>\n                      improves the spontaneous pregnancy rate, and the results of in\u00a0vitro fertilization (\n                      <jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>\n                      ), and the potential risk of such surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>\n                      We conducted a literature search including the terms \u201cdeep\u201d, \u201cdeep infiltrating\u201d, \u201cbowel\u201d, rectovaginal\u201d, \u201cendometriosis\u201d, \u201cfertility\u201d, \u201cinfertility\u201d and \u201c\n                      <jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>\n                      \u201d in PubMed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No randomized controlled studies were found. Other publications of relevance included four retrospective and three prospective observational studies. Moreover, one retrospective study compared results of\n                      <jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>\n                      treatment with or without previous surgery for bowel\n                      <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content>\n                      . All studies reported detailed data on surgical complications. The poor data quality precluded firm conclusions. The results indicate, however, the possibility that surgery for bowel\n                      <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content>\n                      may improve the spontaneous pregnancy rate, and positive effects on\n                      <jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>\n                      outcome cannot be excluded. Such surgery will be associated with risk of major complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The lack of proper data precludes conclusions on the potential role for bowel\n                      <jats:styled-content style=\"fixed-case\">DIE<\/jats:styled-content>\n                      surgery to improve the spontaneous pregnancy rate and results of\n                      <jats:styled-content style=\"fixed-case\">IVF<\/jats:styled-content>\n                      treatment. Positive effects cannot be excluded, but the definite risk of major complications must be taken into account.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.13152","type":"journal-article","created":{"date-parts":[[2017,4,17]],"date-time":"2017-04-17T04:02:46Z","timestamp":1492401766000},"page":"688-693","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":74,"title":["Does surgery for deep infiltrating bowel endometriosis improve fertility? A systematic review"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4101-0550","authenticated-orcid":false,"given":"Maja L.","family":"Iversen","sequence":"first","affiliation":[{"name":"Department of Gynecology Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikkel","family":"Seyer\u2010Hansen","sequence":"additional","affiliation":[{"name":"Department of Gynecology Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Forman","sequence":"additional","affiliation":[{"name":"Department of Gynecology Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7304.93"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1434.007"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.04.037"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-006-9160-1"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60490-4"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(02)03112-6"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2011.11.022"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(02)03373-3"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199707243370401"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2741\/s426"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.09.012"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.10.012"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2015.09.024"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-010-1499-9"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1472-6483(10)60267-2"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2011.0307"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.555"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.12.032"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000447"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60598-1"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12605"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dep083"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.02.020"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13094"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13975"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det457"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2015.05.023"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faogs.13152","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.13152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T03:08:01Z","timestamp":1695524881000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.13152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,28]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1111\/aogs.13152"],"URL":"https:\/\/doi.org\/10.1111\/aogs.13152","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,28]]},"assertion":[{"value":"2017-05-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}