Laser laparoscopic management of large endometriomas
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This paper describes the use of laser laparoscopy for the surgical management of large ovarian endometriomas.
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Abstract
Forty-seven patients underwent laser laparoscopic management of endometriomas from 3 to 12 cm in diameter. Eighteen patients had infertility, 15 had pelvic pain, and 14 had both. The types of laser used were the carbon dioxide, argon, and potassium-titanyl-phosphate. There were no surgical complications. Twelve of 32 patients with infertility achieved pregnancy after the initial procedure. Subsequently, 2 patients conceived after a second-look procedure. Twenty-three of 30 patients with pelvic pain reported improvement or resolution. We confirm the efficacy of operative laparoscopy using lasers in the management of large ovarian endometriomas.
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Cited by (49)
- Assessment of ovarian reserve after cystectomy versus ‘one-step’ laser vaporization in the treatment of ovarian endometrioma: a small randomized clinical trial 2018
- The Impact on Ovarian Reserve of CO<sub>2</sub> Laser Fiber Vaporization in the Treatment of Ovarian Endometrioma: A Prospective Clinical Trial 2017
- Influence of Ovarian Endometrioma on Expression of Steroid Receptor RNA Activator, Estrogen Receptors, Vascular Endothelial Growth Factor, and Thrombospondin 1 in the Surrounding Ovarian Tissues 2013
- Follicular loss in endoscopic surgery for ovarian endometriosis: quantitative and qualitative observations 2011
- Comparing Ovarian Reserves After Laparoscopic Excision of Ovarian Endometriotic Cysts and Ovarian Nonendometriotic Cysts 2010
- The impact on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in patients with endometriomas: a prospective randomized study 2009
- The Management of Chronic Pelvic Pain 2008
- Endometriosis 2008
- Excisional surgery versus ablative surgery for ovarian endometriomata 2008
- Excisional surgery versus ablative surgery for ovarian endometriomata 2005
- Laparoscopic stripping of endometriomas: a randomized trial on different surgical techniques. Part I: Clinical results 2005
- Excisional surgery versus ablative surgery for ovarian endometriomata: a Cochrane Review 2005
- Laser Vaporization and Electrocoagulation of Endometriosis 2004
- Current status of management of endometriomas 2004
- Endometriosis 2003
- Does laparoscopic excision of endometriotic ovarian cysts significantly affect ovarian reserve? Insights from IVF cycles 2003
- Treatment of Endometriosis-Related Pelvic Pain 2003
- Patient satisfaction and changes in pain scores after ablative laparoscopic surgery for stage III–IV endometriosis and endometriotic cysts 2003
- Management of endometriosis-associated infertility 2003
- Laparoscopic Surgery for Pelvic Pain 2002
- Focus on Primary Care: Chronic Pelvic Pain in Women 2001
- Endometriotic ovarian cysts: the case for ablative laparoscopic surgery 2001
- Ovarian response during IVF–embryo transfer cycles after laparoscopic ovarian cystectomy for endometriotic cysts of >3 cm in diameter 2001
- Endoscopic treatment of advanced endometriosis with large endometriomata. Surgical technique 2001
- Laparoscopic management of ovarian cysts 2000
- Endometriomas: a review of modern management 2000
- Ultrasound guided aspiration of endometrioma — a new therapeutic modality to improve reproductive outcome 1999
- Recurrence of ovarian endometrioma after laparoscopic excision 1999
- Factors affecting postoperative pregnancy rate after endoscopic management of large endometriomata 1998
- The evidence for the management of endometriosis 1998
- Laparoscopic Ovarian Surgery and Adhesions 1997
- The role of laparoscopy in the management of pelvic pain in women of reproductive age 1997
- Laparoscopic Ovarian and Parovarian Surgery 1997
- Laser laparoscopic surgery in the treatment of ovarian endometriomas 1997
- Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique 1996
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- Surgical Therapy of Endometriosis 1996
- Adhesion formation and reformation after laparoscopic removal of ovarian endometriomas 1996
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- Laparoscopic treatment of chronic pelvic pain in 100 adult women 1995
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- Laparoscopic alternatives to laparotomy: a new approach to gynaecological surgery 1992
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