Treatment of ovarian endometriomas using laparoscopic surgical techniques.
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Laparoscopic treatment of ovarian endometriomas, progressing from drainage to excision, resulted in no complications and promising fertility outcomes, with 60% of infertile patients achieving pregnancy.
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Abstract
Seventy-nine cases of ovarian endometrioma were treated via the laparoscope. The surgical technique gradually evolved from drainage alone to fulguration and finally to excision of the endometrioma cyst wall. Indications for laparoscopy were infertility (35 cases), pain (33), hypermenorrhea (5) and pelvic mass (4); the condition was an incidental finding in 2 cases. There were no intraoperative or postoperative complications. The long-term results, especially the fertility outcome, have been promising: 12 of 20 women (60%) achieved a term pregnancy following a laparoscopic endometrioma procedure alone. Of the eight women with endometriomas who did not conceive, six had well-documented male factor infertility.
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- The Impact of Endometrioma and Its Surgical Treatment on Ovarian Reserve and Reproductive Performance 2015
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- A Randomized Control Trial Comparing Direct Stripping and Bipolar Electrocoagulation for Laparoscopic Endometriotic Cystectomy-Surgical and Histopathological Aspects 2011
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- Feasibility of the Use of Novel Matrix Hemostatic Sealant (FloSeal) to Achieve Hemostasis during Laparoscopic Excision of Endometrioma 2009
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- The ovarian endometrioma: why is it so poorly managed?: Laparoscopic treatment of large ovarian endometrioma: why such a long learning curve? 2003
- 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
- 10.1016/s0246-1064(13)59715-5 2000
- Comparison of Laparoscopy with Laparotomy for the Treatment of Extensive Endometriosis with Large Endometriomata 1999
- Recurrence of ovarian endometrioma after laparoscopic excision 1999
- Chapter 9 Surgical Treatment of Endometriosis-associated Infertility 1999
- Ovarian Abscess Caused by <i>Peptostreptococcus magnus</i>Following Transvaginal Ultrasound‐GuidedAspiration of Ovarian Endometrioma and FixationWith Pure Ethanol 1998
- Ovarian abscess caused byPeptostreptococcus magnus following transvaginal ultrasound-guided aspiration of ovarian endometrioma and fixation with pure ethanol 1998
- Factors affecting postoperative pregnancy rate after endoscopic management of large endometriomata 1998
- Comparison of GnRH Agonist Administration Before and After Laparoscopic Drainage of Endometriomas 1997
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- Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique 1996
- Laser Technology: Endometriosis and Tubal Surgery 1994
- Management of Stage III and IV endometriosis: a 10-year experience 1994
- The Recurrence of Endometriosis 1994
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- Laser laparoscopy—indications, techniques and results 1993
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- The use of potassium-titanyl-phosphate laser for laparoscopic removal of ovarian endometrioma 1991
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