Second-look laparoscopy after laparoscopic cystectomy of large ovarian endometriomas

M Canis, G Mage, A Wattiez, C Chapron, J L Pouly, S Bassil
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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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

mesh:D004715endometriosisendometrioma

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

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