Treatment of Ovarian Endometriosis

In: Endometriosis · 1995 · pp. 95–103 · doi:10.1007/978-1-4613-8404-5_11 · W2147594641
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Ovarian endometriosis, common in 50-70% of cases, presents differently than at other sites and can be treated by excision, vaporization, or coagulation, though aggressive methods should be avoided.

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This paper discusses treatment options for ovarian endometriosis, noting that ovarian involvement occurs in 50% to 70% of endometriosis cases and that lesions can differ in appearance from other sites. It describes management of superficial ovarian endometriosis with excision, vaporization, or coagulation, along with intraoperative irrigation and removal of all “charcoal” to aim for complete treatment, while recommending avoiding aggressive laser or electrocoagulation to reduce the risk of ovarian damage. The paper also states that ovarian endometriosis may form cystic endometriomas (endometrioma-like structures), including the context of ovarian cystic disease. This paper is centrally about endometriosis — specifically surgical treatment strategies for ovarian endometriosis and endometriomas.

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Abstract

Ovarian involvement occurs in 50% to 70% of all cases of endometriosis.1 Lesions appear differently at the ovary than at other sites. Superficial ovarian endometriosis, like endometriosis of other parts of the pelvis, can be treated by excision, vaporization or coagulation. Irrigation is performed and all of the charcoal is removed to be sure that the disease is completely treated. Aggressive use of the laser or electrocoagulation should be avoided to decrease the chance of ovarian damage. Ovarian endometriosis may form cystic structures known as endometriomas. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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About this chapter Cite this chapter Nezhat, C., Nezhat, F., Nezhat, C., Admon, D. (1995). Treatment of Ovarian Endometriosis. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_11 Download citation DOI: https://doi.org/10.1007/978-1-4613-8404-5_11 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4613-8406-9 Online ISBN: 978-1-4613-8404-5 eBook Packages: Springer Book Archive

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