Endometriotic ovarian cysts: the case for excisional laparoscopic surgery

Panos Maouris, Lincoln Brett
In: Gynaecological Endoscopy · 2002 · vol. 11(5) , pp. 231–234 · doi:10.1046/j.1365-2508.2002.00565.x · W2170181987
article OA: closed CC0 ⤵ 9 in-corpus citations
View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

Laparoscopic excision of endometriotic ovarian cysts demonstrates superior outcomes for symptom relief, fertility, and recurrence rates compared to ablative techniques, with no evident disadvantages.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

ABSTRACT Objective To review the evidence comparing laparoscopic excision with laparoscopic ablation for endometriotic cysts. Design Review of the current literature. Background Endometriotic cysts can be managed laparoscopically by stripping and excising, or by ablation. Main outcome measures Symptom relief, post‐procedure fertility and cyst recurrence rates. Results With ablative techniques, there are concerns about thermal damage to the underlying follicles, incomplete destruction of endometriotic tissue, overdiagnosis of endometriosis in cases of functional haemorrhagic cysts and missed diagnosis in cases of malignancy. The limited comparative data available demonstrate that the clinical outcomes in terms of symptom relief, pregnancy rates and cyst recurrence, are significantly better with excision when compared with ablation. Conclusions There is evidence to suggest that laparoscopic excision is superior to ablation in all the important clinical outcomes. There are also theoretical advantages of excision over ablation, with no demonstrable disadvantages.

My notes (saved in your browser only)

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (19)

Cited by (9)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
unpaywall
last seen: 2026-09-30T06:35:30.012611+00:00
License: CC0 · commercial use OK