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 OBJECTIVE: To evaluate the extent of adhesion formation after laparoscopic removal of endometriomas. DESIGN: Prospective case series. SETTING: A university hospital. PATIENTS: Nineteen infertile women with ovarian endometriomas. INTERVENTIONS: All 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 RESULTS: The 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). CONCLUSIONS: Laparoscopic 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 Laparoscopy Ovarian Diseases Postoperative Complications Postoperative Complications Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis Evaluation Studies as Topic Evaluation Studies as Topic Female Female Humans Humans Infertility, Female

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

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