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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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

OBJECTIVE: To investigate the effect of two laparoscopic techniques for treatment of ovarian endometriomas on recurrence rate. DESIGN: Prospective randomized clinical trial. SETTING: University 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 Laparoscopy Laser Therapy Laser Therapy Laser Therapy Ovarian Diseases Ovarian Diseases Adult Adult Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Humans

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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