Laparoscopic removal of endometriomas: sonographic evaluation of residual functioning ovarian tissue

C. Exacoustós, Caterina Exacoustos, Errico Zupi, Amadio A, Annalisa Amadio, Szabolcs B, Beata Szabolcs, B. Szabolcs, Bonaventura De Vivo, De Vivo B, B De Vivo, Marconi D, Daniela Marconi, Maria Elisabetta Romanini, M. E. Romanini, Elisabetta Romanini M, Arduini D, Domenico Arduini
American Journal of Obstetrics and Gynecology · 2004 · vol. 191(1) , pp. 68–72 · doi:10.1016/j.ajog.2004.01.010 · PMID:15295344 · W2079236599
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This study evaluated residual functioning ovarian tissue following laparoscopic removal of endometriomas using sonography.

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Abstract

ObjectiveThe aim of this study was to determine whether and to what extent laparoscopic removal of ovarian endometriotic cysts is a tissue-sparing procedure.Study designAt the University Hospital, 77 women of reproductive age with endometriomas and 55 with dermoid cysts underwent laparoscopic removal of the ovarian disease by stripping. Within 1 month before and within 36 months after surgery all patients underwent transvaginal sonographic evaluation of ovarian volume of the endometriomas or dermoid cysts and measurement of the residual ovarian tissue.ResultsThe residual ovarian volume after surgery was significantly less for the endometrioma group than for the dermoid group. Comparison of the volume of the treated ovary with that of the untreated contralateral ovary showed a significant difference (4.3+/-2.3 cm(3) vs 9.7+/-3.9 cm(3)) only in the endometrioma group.ConclusionOvarian stripping of endometriomas, but not of ovarian dermoids, is associated with a significant decrease in residual ovarian volume which may result in diminished ovarian reserve and function.

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Condition tags

endometriosis

MeSH descriptors

Dermoid Cyst Endometriosis Ovarian Diseases Ovarian Neoplasms Ovary Adult Dermoid Cyst Endometriosis Female Humans Laparoscopy Ovarian Diseases Ovarian Neoplasms Ovary Ultrasonography

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