{"paper_id":"289af732-aac3-4963-a8b5-395eaf08e921","body_text":"Original\nReccurence of ovarian endometriotic cyst after cystectomy\n2009 Volume 25 Issue 2 Pages 442-446\nDetails\nAbstract\nObjective: To evaluate risk factors which are associated with recurrence of endometriotic cysts after cystectomy.\nMethod: Fifty-seven patients who had a minimum of 6 months of observation after cystectomies for endometriotic cyst were studied retrospectively. Recurrence was defined as the presence of an endometriotic cyst > 2 cm in size on transvaginal ultrasonogram during the post-operative follow-up period. We evaluated nine variables (age, laparoscopic surgery/laparotomy, size of the largest cyst, laterality, findings of transvaginal ultrasonogram, serum CA-125 levels, revised American Society for Reproductive Medicine [r-ASRM] classification, and pre- and post-operative medical treatment) to assess the effects on the recurrence using logistic regression analysis.\nResult: The overall rate of recurrence was 17.5% (10/57). The cumulative rate of recurrence over 60 months was 32.1%. Laparoscopic treatment had a higher recurrence rate than laparotomy (p<0.05).The statistically significant factor that was associated with a higher recurrence rate was pre-operative medical treatment (p=0.02).\nConclusion: Pre-operative medical treatment of endometriotic cysts is associated with a higher recurrence rate after cystectomy.\nMethod: Fifty-seven patients who had a minimum of 6 months of observation after cystectomies for endometriotic cyst were studied retrospectively. Recurrence was defined as the presence of an endometriotic cyst > 2 cm in size on transvaginal ultrasonogram during the post-operative follow-up period. We evaluated nine variables (age, laparoscopic surgery/laparotomy, size of the largest cyst, laterality, findings of transvaginal ultrasonogram, serum CA-125 levels, revised American Society for Reproductive Medicine [r-ASRM] classification, and pre- and post-operative medical treatment) to assess the effects on the recurrence using logistic regression analysis.\nResult: The overall rate of recurrence was 17.5% (10/57). The cumulative rate of recurrence over 60 months was 32.1%. Laparoscopic treatment had a higher recurrence rate than laparotomy (p<0.05).The statistically significant factor that was associated with a higher recurrence rate was pre-operative medical treatment (p=0.02).\nConclusion: Pre-operative medical treatment of endometriotic cysts is associated with a higher recurrence rate after cystectomy.\n© 2009 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy\nFavorites & Alerts\nRecently viewed articles","source_license":"CC0","license_restricted":false}