A review article on ovarian cystectomy in endometriomas by laparoscopy

A review article on ovarian cystectomy in endometriomas by laparoscopy DOI: https://doi.org/10.18203/2320-1770.ijrcog20174982Keywords: Combined technique, Cystectomy, Endometrioma, LaparoscopyAbstract Endometrioma is one of the most frequent adnexal masses in the reproductive population. Medical therapy is inefficient and cannot be recommended in the management of ovarian endometriomas. The general consensus is that ovarian endometriomas larger than 4 cm should be removed, both to reduce pain and to improve spontaneous conception rates. The removal of ovarian endometriomas can be difficult, as the capsule is often densely adherent. While the surgical treatment of choice is surgical laparoscopy, for conservative treatment, the preferred method is modified combined cystectomy. Cystectomy can be destructive for the ovary, whereas ablation may be incomplete, with a greater risk of recurrence. Metrics References Shebl O, Ebner T, Sommergruber M, Sir A, Tews G. Anti-Muellerian hormone serum levels in women with endometriosis: a case-control study. Gynecol Endocrinol. 2009;25:713-6. Adamson GD. Endometriosis classification: An update. Curr Opin Obstet Gynecol. 2011;23:213-20. Montagnana M, Lippi G, Danese E, Franchi M, Guidi GC. Usefulness of serum HE4 in endometriotic cysts. Br J Cancer. 2009;101:548-8. Moore RG, Jabre-Raughley M, Brown AK, Robison KM, Miller MC, Allard WJ, et al. Comparison of a novel multiple marker assay versus the risk of malignancy index for the prediction of epithelial ovarian cancer in patients with a pelvic mass. Am J Obstet Gynecol. 2010;203:228-33. Jacob F, Meier M, Caduff R, Goldstein D, Pochechueva T, Hacker N, et al. No benefit from combining HE4 and CA125 as ovarian tumor markers in a clinical setting. Gynecol Oncol. 2011;121:487-91. Huhtinen K, Suvitie P, Hiissa J, Junnila J, Huvila J, Kujari H, et al. Serum HE4 concentration differentiates malignant ovarian tumors from ovarian endometriotic cysts. Br J Cancer. 2009;100:1315-9. Somigliana E, Vercellini P, Viganó P, Ragni G, Crosignani PG. Should endometriomas be treated before IVF-ICSI cycles? Hum Reprod Update. 2006;12:57-64. Nagle C, Olsen C, Webb P, Jordan S, Whiteman D, Green A. Endometrioid and clear cell ovarian cancers: a comparative analysis of risk factors. Eur J Cancer. 2008;44:2477-84. Ness R. Endometriosis and ovarian cancer: thoughts on shared pathophysiology. Am J Obstet Gynecol. 2003;189:280-94. Garcia-Velasco JA, Somigliana E. Management of endometriomas in women requiring IVF: to touch or not to touch. Hum Reprod. 2009;24:496-501. Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, et al. ESHRE guideline for the diagnosis and treatment of endometriosis. Hum Reprod. 2005;20:2698-704. Chapron C, Vercellini P, Barakat H, Vieira M, Dubuisson JB. Management of ovarian endometriomas. Hum Reprod Update. 2002;8:591-7. Tinkanen H, Kujansuu E. In vitro fertilisation in patients with ovarian endometriosis. Acta Obstet Gynecol Scand. 2000;79:119-22. Smith LP, Williams CD, Doyle JO, Closshey WB, Brix WK, Pastore LM. Effect of endometrioma cyst fluid exposure on peritoneal adhesion formation in a rabbit model. Fertil Steril. 2007;87:1173-9. Marana R, Caruana P, Muzii L, Catalano GF, Mancuso S. Operative laparoscopy for ovarian cysts excision versus aspiration. J Reprod Med. 1996;41:435-8. Alborzi S, Ravanbakhsh R, Parsanezhad ME, Alborzi M, Alborzi S, Dehbashi S. A comparison of follicular response of ovaries to ovulation induction after laparoscopic ovarian cystectomy or fenestration and coagulation versus normal ovaries in patients with endometrioma. Fertil Steril. 2007;88:507-9. Nezhat C, Silfen SL, Nezhat F. Surgery for endometriosis. Curr Opin Obstet Gynecol. 1991;3:385-90. Canis M, Pouly JL, Tamburro S, Mage G, Wattiez A, Bruhat MA. Ovarian response during IVF-embryo transfer cycles after laparoscopic ovarian cystectomy for endometriotic cysts of >3 cm in diameter. Hum Reprod. 2001;12:2583-6. Marconi G, Vilela M, Quintana R, Sueldo C. Laparoscopic ovarian cystectomy of endometriomas does not affect the ovarian response to gonadotropin stimulation. Fertil Steril. 2002;78:876-8. Hart R, Hickey M, Maouris P, Buckett W. Excisional surgery versus ablative surgery for ovarian endometriomata. Cochrane Database Syst Rev. 2008;16:CD004992. Muzii L, Bellati F, Bianchi A, Palaia I, Manci N, Zullo M, et al. Laparoscopic stripping of endometriomas: a randomized trial on different surgical techniques. Part II. Pathological results. Hum Reprod. 2005;20:1987-92. Muzii L, Bianchi A, Crocè C, Manci N, Panici PB. Laparoscopic excision of ovarian cysts: is the stripping technique a tissue-sparing procedure? Fertil Steril. 2002;77:609-14. Nargund G, Cheng W, Parsons J. The impact of ovarian cystectomy on ovarian response to stimulation during in-vitro fertilization cycles. Hum Reprod. 1996;11:81-3. Ho H, Lee R, Hwu Y, Lin M, Su J, Tsai Y. Poor response of ovaries with endometrioma previously treated with cystectomy to controlled ovarian hyperstimulation. J Assist Reprod Genet. 2002;19:507-11. Nisolle M, Donnez J. Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril. 1997;68:585-96. Donnez J, Lousse JC, Jadoul P, Donnez O, Squifflet J. Laparoscopic management of endometriomas using a combined technique of excisional (cystectomy) and ablative surgery. Fertil Steril. 2010;94:28-32. Baggish MS, Tucker RD. Tissue actions of bipolar scissors compared with monopolar devices. Fertil Steril. 1995;63:422-6. Nezhat C, Nezhat F. Postoperative adhesion formation after ovarian cystectomy with and without ovarian reconstruction. Abstract O-012, 47th annual meeting of the American Fertility Association; Orlando, FL. 1991. Operative Laparoscopy Study Group. Postoperative adhesion development after operative laparoscopy: evaluation at early second-look procedure. Fertil Steril. 1991;55:700-4. Redwine DB. Conservative laparoscopic excision of endometriosis by sharp dissection: life table analysis of reoperation and persistent or recurrent disease. Fertil Steril. 1991;56:628-34.