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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Cited by (50)
- In the thicket of fears, doubts, and murky facts: some reflections on treatment modalities for endometriosis-associated pain 2023
- Endometrioma and reproductive issues: a well-informed patient may be the driver for change 2020
- Endometrioma, fertility, and assisted reproductive treatments: connecting the dots 2018
- [Ovarian endometriomas: No-surgery has never been evaluated and surgery correctly performed should remain the gold-standard!] 2016
- Surgical diminished ovarian reserve after endometrioma cystectomy versus idiopathic DOR: comparison of in vitro fertilization outcome 2015
- Aspectos fisiopatológicos y repercusiones reproductivas de los endometriomas ováricos 2015
- Effect of Surgical Removal of Endometriomas on Cyclic and Non-cyclic Pelvic Pain 2015
- Endometrioma ovárico 2015
- The Impact of Endometrioma and Its Surgical Treatment on Ovarian Reserve and Reproductive Performance 2015
- Effect of surgical removal of endometriomas on cyclic and non-cyclic pelvic pain 2013
- Surgical strategy in endometriosis 2013
- History of Endometriosis: A 20th‐Century Disease 2011
- Endometriosis, a modern syndrome 2011
- A Randomized Control Trial Comparing Direct Stripping and Bipolar Electrocoagulation for Laparoscopic Endometriotic Cystectomy-Surgical and Histopathological Aspects 2011
- Feasibility of the use of novel matrix hemostatic sealant (FloSeal) to achieve hemostasis during laparoscopic excision of endometrioma 2009
- Ovarian endometrioma: postoperative adhesions following bipolar coagulation and suture 2008
- Excisional surgery versus ablative surgery for ovarian endometriomata 2008
- Post-surgical ovarian failure after laparoscopic excision of bilateral endometriomas: is this rare problem preventable? 2006
- Painful menstruation: endometriosis 2005
- Excisional surgery versus ablative surgery for ovarian endometriomata: a Cochrane Review 2005
- Laparoscopic stripping of endometriomas: a randomized trial on different surgical techniques. Part I: clinical results 2005
- Excisional surgery versus ablative surgery for ovarian endometriomata 2005
- Lasers in the surgical management of endometriosis 2005
- Avances en el tratamiento quirúrgico de la endometriosis 2004
- Fiber Laser Excision of Endometriosis 2004
- Bipolar electrocoagulation versus suture of solitary ovary after laparoscopic excision of ovarian endometriomas 2004
- 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
- Comparison of Laparoscopy with Laparotomy for the Treatment of Extensive Endometriosis with Large Endometriomata 1999
- Chapter 9 Surgical Treatment of Endometriosis-associated Infertility 1999
- Recurrence of ovarian endometrioma after laparoscopic excision 1999
- Ovarian abscess caused by Peptostreptococcus magnus following transvaginal ultrasound-guided aspiration of ovarian endometrioma and fixation with pure ethanol 1998
- Ovarian Abscess Caused by <i>Peptostreptococcus magnus</i>Following Transvaginal Ultrasound‐GuidedAspiration of Ovarian Endometrioma and FixationWith Pure Ethanol 1998
- Factors affecting postoperative pregnancy rate after endoscopic management of large endometriomata 1998
- Laser laparoscopic surgery in the treatment of ovarian endometriomas 1997
- Laparoscopic Ovarian and Parovarian Surgery 1997
- Laparoscopic Treatment of Endometriosis 1997
- Comparison of GnRH Agonist Administration Before and After Laparoscopic Drainage of Endometriomas 1997
- Surgical Therapy of Endometriosis 1996
- 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
- The surgical management of endometriosis 1993
- Laser laparoscopy—indications, techniques and results 1993
- Laser laparoscopic management of large endometriomas 1992
- Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata 1992
- The use of potassium-titanyl-phosphate laser for laparoscopic removal of ovarian endometrioma 1991
- The choice of therapy for the operative treatment of endometriosis is endoscopic laser surgery. Pro 1991
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