Laparoscopic stripping of endometriomas: a randomized trial on different surgical techniques. Part I: Clinical results

Ludovico Muzii, Filippo Bellati, Innocenza Palaia, Francesco Plotti, Natalina Manci, Marzio Angelo Zullo, Roberto Angioli, Pierluigi Benedetti Panici
Human Reproduction · 2005 · vol. 20(7) , pp. 1981–1986 · doi:10.1093/humrep/dei007 · PMID:15802314 · W2103822721
article OA: bronze CC0 ⤵ 107 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This randomized trial found that while circular excision before stripping was easier, both techniques for initial stripping and hilus management of endometriomas were comparable in operative time and difficulty.

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Abstract

BACKGROUND: Laparoscopic surgery has become the gold-standard treatment for ovarian endometriomas. The objective of this trial was to evaluate different procedures for the laparoscopic excision of ovarian endometriomas with the stripping technique. METHODS: Forty-eight patients with ovarian endometrioma were enrolled in two consecutive independent randomized trials. Two different techniques were analysed at the initial adhesion site (circular excision and subsequent stripping versus immediate stripping). Two different techniques were analysed at the ovarian hilus (stripping versus coagulation and cutting). Operative time and technical difficulties were prospectively evaluated. Histological analysis was performed in three portions of the cyst wall and the results of the histologic study are reported separately. RESULTS: At the initial part of the stripping procedure, the technique of circular excision and subsequent stripping appeared to be more easily performed than the technique of direct stripping (P < 0.01), although operative times were comparable between the two techniques. At the hilus, the two techniques utilized appeared to be comparable both for easiness of procedure and operating times. CONCLUSIONS: In this prospective, randomized study, different techniques used during the stripping procedure appeared to be comparable in terms of operative times and complications. One technique used at the beginning of the procedure (circular excision followed by stripping) was easier to perform.

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Condition tags

mesh:D004715endometrioma

MeSH descriptors

Endometriosis Laparoscopy Ovarian Diseases Adult Endometriosis Endometriosis Female Humans Laparoscopy Laparoscopy Ovarian Diseases Ovarian Diseases Prospective Studies Single-Blind Method Time Factors

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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