Second-look laparoscopy after laparoscopic cystectomy of large ovarian endometriomas
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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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Cited by (3)
- Vaporisation laser des endométriomes ovariens : impact sur la réponse aux gonadotrophines 2003
- Adhesion formation and reformation after laparoscopic removal of ovarian endometriomas 1996
- Ultrasonographic Evaluation of Postoperative Ovarian Cyst Formation after Laparoscopic Excision of Endometriomas 2004
Cited by (3)
- Ultrasonographic Evaluation of Postoperative Ovarian Cyst Formation after Laparoscopic Excision of Endometriomas 2004
- Vaporisation laser des endométriomes ovariens : impact sur la réponse aux gonadotrophines 2003
- Adhesion formation and reformation after laparoscopic removal of ovarian endometriomas 1996
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- europepmc
- last seen: 2026-08-12T06:07:16.479679+00:00
- pubmed
- last seen: 2026-05-13T22:11:44.647872+00:00
- unpaywall
- last seen: 2026-08-12T06:43:03.944938+00:00
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Courtesy of the U.S. National Library of Medicine
Courtesy of the U.S. National Library of Medicine