Histologic analysis of specimens from laparoscopic endometrioma excision performed by different surgeons: does the surgeon matter?

Ludovico Muzii, Riccardo Marana, Marana R, Roberto Angioli, Bianchi A, Antonella Bianchi, Gaspare Cucinella, Michele Vignali, M. Vignali, Pierluigi Benedetti Panici, Benedetti Panici P, Mauro Busacca, Busacca M
Fertility and sterility · 2011 · vol. 95(6) , pp. 2116–2119 · doi:10.1016/j.fertnstert.2011.02.034 · PMID:21411079 · W2128614094
article OA: closed CC0 ⤵ 86 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study analyzed endometrioma excision specimens from laparoscopic surgeries performed by different surgeons to determine if surgeon experience impacts histologic findings.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

ObjectiveTo evaluate whether the amount of ovarian tissue inadvertently removed along with the endometrioma cyst wall at laparoscopy differs in relation to the operating surgeon's level of expertise.DesignMulticenter, prospective trial.SettingFour tertiary care university hospitals.Patient(s)Fifty patients, aged 25 to 40 years, with monolateral ovarian endometriomas who underwent laparoscopic excision.Intervention(s)Operation with the stripping technique by surgeons with specific expertise in endometriosis surgery in four centers (groups A, B, C, and D) and by residents with average training in laparoscopic surgery (group E).Main outcome measure(s)Histologic examination for the evaluation of the mean thickness of the cyst wall from each specimen, and the mean thickness and morphologic characteristics of any ovarian tissue removed.Result(s)No statistically significant differences were present in the rate of presence of ovarian tissue in the endometrioma wall specimens from the different groups (44%, 45%, 55%, 56%, and 60% in groups A, B, C, D, and E, respectively). For groups A+B+C+D versus group E, a statistically significant difference was found in the mean thickness of the tissue specimens (1.51 mm vs. 1.91 mm, respectively) and in the mean thickness of ovarian tissue inadvertently excised (0.49 mm vs. 0.97 mm, respectively).Conclusion(s)Level of expertise in endometriosis surgery is inversely correlated with inadvertent removal of healthy ovarian tissue along with the endometrioma capsule.

My notes (saved in your browser only)

Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Laparoscopy Ovarian Diseases Ovarian Diseases Physicians Physicians Adult Clinical Competence Endometriosis Female Gynecologic Surgical Procedures Humans Organ Size Ovarian Diseases Ovary Ovary Single-Blind Method Tumor Burden

Citation neighborhood

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.

References (17)

Cited by (50)

Source provenance

europepmc
last seen: 2026-07-25T06:15:30.875455+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:16:48.482574+00:00
unpaywall
last seen: 2026-07-25T06:54:40.737861+00:00
License: CC0 · commercial use OK