Adhesion formation and reformation after laparoscopic removal of ovarian endometriomas

Timur Gurgan, Timur Gürgan, Gurgan T, T Gurgan, Bülent Urman, B Urman, Urman B, Bulent Urman, Yarali H, Hakan Yarali, Hakan Yaralı́, H Yarali
The Journal of the American Association of Gynecologic Laparoscopists · 1996 · vol. 3(3) , pp. 389–392 · doi:10.1016/s1074-3804(96)80069-7 · PMID:9050661 · W2010074879
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This study investigated the incidence and severity of adhesion formation and reformation following laparoscopic ovarian endometrioma removal.

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Abstract

Study objectiveTo evaluate the extent of adhesion formation after laparoscopic removal of endometriomas.DesignProspective case series.SettingA university hospital.PatientsNineteen infertile women with ovarian endometriomas.InterventionsAll patients underwent laparoscopic cystectomy with total stripping of the cyst capsule when possible. A second-look laparoscopy was performed after 3 months of postoperative treatment with a gonadotropin-releasing hormone analog.Measurements and main resultsThe extent of adhesion reformation was dependent on the extent and severity of adhesions at initial laparoscopy. One (5.2%) woman had a residual ovarian endometrioma at second-look laparoscopy. De novo adhesion formation was not seen. Nine women (42.8%) conceived during the postoperative follow-up period (range 11-22 mo).ConclusionsLaparoscopic removal of endometriomas is effective in eradicating the disease. Adhesions at second-look laparoscopy depend on adhesions at the initial laparoscopy. Crude pregnancy rates are satisfactory in infertile women.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Laparoscopy Ovarian Diseases Postoperative Complications Adult Endometriosis Endometriosis Endometriosis Evaluation Studies as Topic Female Humans Infertility, Female Infertility, Female Ovarian Diseases Ovarian Diseases Tissue Adhesions Tissue Adhesions Ultrasonography

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