Second-look laparoscopy after laparoscopic cystectomy of large ovarian endometriomas

Michel Canis, M Canis, Mage G, G. Mage, A Wattiez, Arnaud Wattiez, Chapron C, C. Chapron, J L Pouly, Pouly JL, S. Bassil, Bassil S
Fertility and sterility · 1992 · doi:10.1016/s0015-0282(16)55274-1 · PMID:1306052
other OA: closed public-domain-us ⤵ 2 in-corpus citations
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This study evaluated second-look laparoscopy in 42 patients treated for large ovarian endometriomas, finding that 92.4% had no residual endometriosis but de novo adhesion formation occurred in 21% of treated adnexae.

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Abstract

Forty-two patients who underwent a second-look laparoscopy after a unilateral or bilateral intraperitoneal cystectomy for treatment of an ovarian endometrioma of greater than 3 cm were included. At second-look laparoscopy, 92.4% of the adnexae treated for a large endometrioma had no deep ovarian endometriosis. Adhesion de novo formation occurred in 21% of the treated adnexae and in 17% of the contralateral adnexae. Complete or partial recurrence of dense adhesions occurred in 82% of the cases. Laparoscopic cystectomy is effective in treating large endometriomas. However, operative difficulties may be encountered, explaining persistent endometriomas and postoperative adhesions.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Laparoscopy Ovarian Neoplasms Adnexa Uteri Adnexa Uteri Adult Endometriosis Endometriosis Female Humans Ovarian Neoplasms Ovarian Neoplasms Postoperative Complications Recurrence Reoperation Tissue Adhesions Tissue Adhesions Tissue Adhesions

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.

Cited by (5)

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