Ovarian Endometrioma Surgery - How to Safeguard the Follicular Reserve
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This paper describes a surgical technique designed to remove ovarian endometriomas while minimizing damage to the ovary's follicular reserve.
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Abstract
Ovarian endometrioma is a particular anatomopathological entity in the context of endometriotic pathology. The ovary is the organ most frequently affected by endometriosis and in 30% of cases, the pathology is bilateral. The effect of endometriosis on fertility is varied; however, women with severe endometriosis and the presence of endometriomas appear to have significantly lower pregnancy rates, also following IVF treatment, when compared with women with severe endometriosis but without endometriomas. Surgical treatment is indicated if the endometrioma becomes symptomatic and increases in size despite medical therapy, and in cases of related infertility. However, endometrioma surgery can reduce the follicular reserve either through stripping that does not take into account the correct cleavage plan and involves an exaggerated “traction-counter traction”, or with an indiscriminate electro-hemostasis or, with a too narrow suture that causes ischemia. In consideration of this important issues, we have organized a surgical-excision technique that tries to safeguard as much as possible the follicular reserve of the ovary affected by endometriosis.
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Cites (4)
- Endometrioma Excision and Ovarian Reserve: A Dangerous Relation 2009
- Surgical treatment of ovarian endometriomas: state of the art? 2012
- Additional benefit of hemostatic sealant in preservation of ovarian reserve during laparoscopic ovarian cystectomy: a multi-center, randomized controlled trial 2014
- [Guideline for the diagnosis and treatment of endometriosis]. 2015
Cited by (1)
References (6)
- Additional benefit of hemostatic sealant in preservation of ovarian reserve during laparoscopic ovarian cystectomy: a multi-center, randomized controlled trial via openalex
- Endometrioma Excision and Ovarian Reserve: A Dangerous Relation via openalex
- [Guideline for the diagnosis and treatment of endometriosis]. via openalex
- Surgical treatment of ovarian endometriomas: state of the art? via openalex
- W2007963957 via openalex
- W2990513675 via openalex
Cited by (1)
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0
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