Follicular loss in endoscopic surgery for ovarian endometriosis: quantitative and qualitative observations

Romualdi D, Daniela Romualdi, D. Romualdi, Gian Franco Zannoni, Franco Zannoni G, Antonio Lanzone, Selvaggi L, Luigi Selvaggi, Valeria Tagliaferri, Tagliaferri V, Valerio Gaetano Vellone, Gaetano Vellone V, Giuseppe Campagna, Campagna G, Maurizio Guido
Fertility and sterility · 2011 · vol. 96(2) , pp. 374–378 · doi:10.1016/j.fertnstert.2011.05.078 · PMID:21703608 · W2048328112
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This study quantitatively and qualitatively analyzed follicular loss during endoscopic surgery for ovarian endometriosis.

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Abstract

ObjectiveTo identify a possible marker of follicular depletion in relation to some histologic parameters of endometriotic cysts.DesignProspective study.SettingUniversità Cattolica del Sacro Cuore, Operative Division of Endocrinological Gynecology.Patient(s)Seventy-seven patients (aged 20-40 years) with endometrioma.Intervention(s)Patients underwent laparoscopic surgery for ovarian endometriosis.Main outcome measure(s)After excision of the cyst wall, involuntarily removed follicles were correlated with age at surgery and with intrinsic histologic parameters of the specimen (thickness and composition of capsule; size of cyst).Result(s)There was a statistically significant relationship between patient age and number of follicles in the histologic section, a statistically significant inverse relationship between size of cyst and number of follicles, and no significant correlation between thickness of the capsule and number of follicles. Fibroblastic-type capsule, most frequently found in younger patients, was associated with removal of a significantly higher number of follicles.Conclusion(s)Our study suggests that patient age and cyst dimension are related to the histologic composition of the capsule, which is a marker of the aggressiveness of the cyst itself.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Ovarian Cysts Ovarian Diseases Ovarian Follicle Adult Age Factors Biopsy Chi-Square Distribution Endometriosis Endometriosis Endometriosis Female Fertility Humans Italy Laparoscopy Ovarian Cysts Ovarian Cysts Ovarian Cysts

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