Management of Ovarian Endometrioma

Saeed Alborzi, Afsoon Zarei, Alborzi S, Soroosh Alborzi, Alborzi M, Mehrnoosh Alborzi
Clinical Obstetrics and Gynecology · 2006 · vol. 49(3) , pp. 480–491 · doi:10.1097/00003081-200609000-00008 · PMID:16885655 · W2069188703
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Laparoscopic cystectomy for ovarian endometrioma is superior to drainage and coagulation regarding recurrence, reoperation, and pregnancy rates, especially for infertile patients.

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Abstract

The optimal conservative treatment for endometriotic cysts is unclear, particularly when treated laparoscopically. We performed a systematic analysis of the published literature on ovarian endometrioma especially focused on comparing laparoscopic cystectomy with laparoscopic drainage and coagulation of the cyst with regard to evaluating advantage and disadvantage of each method. We observed that cystectomy was superior in terms of risk of recurrent symptoms, cyst, reoperation, pregnancy: this was true in both prospective and retrospective studies previously published. Given the evidence available, excision of cyst wall in endometrioma is strongly recommended especially in infertile patients.
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Original Articles Management of Ovarian Endometrioma - SAEED ALBORZI - AFSOON ZAREI - SOROOSH ALBORZI - MEHRNOOSH ALBORZI Clinical Obstetrics & Gynecology 49(3):p 480-491, September 2006. The optimal conservative treatment for endometriotic cysts is unclear, particularly when treated laparoscopically. We performed a systematic analysis of the published literature on ovarian endometrioma especially focused on comparing laparoscopic cystectomy with laparoscopic drainage and coagulation of the cyst with regard to evaluating advantage and disadvantage of each method. We observed that cystectomy was superior in terms of risk of recurrent symptoms, cyst, reoperation, pregnancy: this was true in both prospective and retrospective studies previously published. Given the evidence available, excision of cyst wall in endometrioma is strongly recommended especially in infertile patients. Copyright © 2006 Wolters Kluwer Health, Inc. All rights reserved.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Ovarian Diseases Endometriosis Endometriosis Female Gynecologic Surgical Procedures Humans Laparoscopy Ovarian Diseases Ovarian Diseases Ovary Ovary Ovary Ultrasonography

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.

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