Minimizing Repeat Surgeries for Endometriomas: The Impact of Surgical Intervention by Minimally Invasive Gynecologic Surgeons

Sarah E. Allen, Tanya Kenkre, Selma Su, Ted T.M. Lee, Nicole Donnellan
In: Journal of Gynecologic Surgery · 2026 · vol. 42(3) , pp. 113–119 · doi:10.1177/10424067261451104 · W7161158729
article OA: closed CC0
Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

Patients undergoing initial endometrioma surgery by fellowship-trained minimally invasive gynecologic surgeons had significantly fewer repeat surgeries compared to those treated by general obstetrician-gynecologists.

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

⚙ AI-generated deep summary by claude@2026-07, 2026-07-16 · read from full text ⓘ

The provided text contains only the article title and non-substantive fields (e.g., abstract headings like Objective/Results/Conclusion) without the actual study design, participants, methods, outcomes, or findings. Because the body of the paper is not included, the key results and any limitations explicitly stated in the paper cannot be determined from the supplied content. I therefore cannot produce an evidence-based summary of what the study studied or what it found. This paper is centrally about endometriosis — it focuses on minimizing repeat surgeries for endometriomas and the impact of surgical intervention by minimally invasive gynecologic surgeons.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Objective: The objective of this study is to determine whether patients who are diagnosed with ovarian endometrioma(s) on imaging undergo fewer total surgeries for treatment of their endometrioma and endometriosis if the initial surgery is performed by a fellowship-trained minimally invasive gynecologic surgeon (MIGS) compared to an obstetrician/gynecologist (Ob/Gyn). Design: Single-center, retrospective cohort study. Setting: Academic, urban, tertiary care institution in the United States. Participants: In total, 383 female patients ages 18 and older with endometrioma(s) diagnosed on pelvic ultrasound between January 1, 2010, and December 31, 2015, who underwent surgical treatment. Results: Patients who underwent primary surgery by MIGS were significantly less likely to undergo a second and third surgery than if the procedure was initially performed by an Ob/Gyn (second surgery n = 19, 10.4% vs. n = 24, 18.2%; third surgery n = 2, 1.1% vs. n = 9, 6.8%; p < 0.01). A higher proportion of patients whose first surgery was performed by MIGS had only one surgery than patients whose first surgery was performed by an Ob/Gyn ( n = 162, 88.5% vs. n = 99, 75.0%). MIGS were more likely to use a laparoscopic approach compared to Ob/Gyns for all cases (first surgery n = 183, 54.8% vs. n = 106, 31.7%, second surgery n = 41, 73.2% vs. n = 9, 16.1%, third surgery n = 11, 84.6% vs. n = 1, 7.7%; p < 0.01). Conclusion: Patients diagnosed with endometriomas on imaging undergo fewer surgeries for treatment if their initial surgery was performed by MIGS as compared to Ob/Gyn. These findings have important implications for the surgical referral patterns of patients diagnosed with endometriomas on preoperative imaging.
Full text 1,405 characters · extracted from oa-doi-fallback · 4 sections · click to expand

Abstract

Objective: Design: Setting: Participants:

Results

Conclusion: Get full access to this article View all access and purchase options for this article. Data availability statement

References

Cite Cite Cite Download to reference manager If you have citation software installed, you can download citation data to the citation manager of your choice Information, rights and permissions Information Published In

Keywords

Data availability statement Authors Metrics and citations Metrics Journals metrics This article was published in Journal of Gynecologic Surgery. View All Journal MetricsPublication usage* Total views and downloads: 1 *Publication usage tracking started in December 2016 Publications citing this one Receive email alerts when this publication is cited Web of Science: 0 Crossref: There are no citing articles to show. Figures and tables Figures & Media Tables View Options Access options If you have access to journal content via a personal subscription, university, library, employer or society, select from the options below: loading institutional access options Alternatively, view purchase options below: Purchase 24 hour online access to view and download content. Access journal content via a DeepDyve subscription or find out more about this option.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisendometrioma

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 (32)

Source provenance

openalex
last seen: 2026-08-12T06:00:24.528921+00:00
License: CC0 · commercial use OK