Ovarian cystectomy versus laser vaporization in the treatment of ovarian endometriomas: a randomized clinical trial with a five-year follow-up

Francisco Carmona, M Angeles Martínez-Zamora, Martínez-Zamora MA, Maria Ángeles Martínez‐Zamora, Aintzane Rabanal, Rabanal A, Martínez-Román S, Sergio Martínez‐Román, Sergio Martínez-Román, Balasch J, Juan Balasch
Fertility and sterility · 2011 · vol. 96(1) , pp. 251–254 · doi:10.1016/j.fertnstert.2011.04.068 · PMID:21575941 · W2041945268
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This randomized clinical trial compared ovarian cystectomy and laser vaporization for treating ovarian endometriomas over a five-year follow-up period.

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Abstract

ObjectiveTo investigate the effect of two laparoscopic techniques for treatment of ovarian endometriomas on recurrence rate.DesignProspective randomized clinical trial.SettingUniversity teaching hospital.Patient(s)Ninety women with ovarian endometriomas.Intervention(s)Patients were randomly selected to undergo either laparoscopic cystectomy (group 1) or laser vaporization (group 2) of ovarian endometrioma.Main outcome measure(s)Recurrence, evaluated by ultrasound scan examination, was assessed at 12 and 60 months of follow-up.Result(s)Endometrioma recurrence rate was higher, though not significantly different, in group 2 at 60 months of follow-up. Nevertheless, at 12 months of follow-up recurrences were statistically higher in group 2.Conclusion(s)The comparison between laparoscopic laser ablation and laparoscopic cystectomy for ovarian endometriomas after long-term follow-up showed earlier recurrences and a higher recurrence rate in the laser group, although at 5 years of follow-up there were no statistically significant differences.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Laparoscopy Laser Therapy Laser Therapy Ovarian Diseases Ovarian Diseases Adult Endometriosis Endometriosis Female Follow-Up Studies Humans Ovarian Diseases Ovarian Diseases Prospective Studies Recurrence Treatment Outcome Ultrasonography

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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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Cited by (50)

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