Diagnosis and surgical management of endometriomas

Carl Wood, C Wood, Wood C, Maher P, Peter Maher, P. Maher, D Hill, Hill D, David J. Hill
The Australian & New Zealand journal of obstetrics & gynaecology · 1992 · vol. 32(2) , pp. 161–163 · doi:10.1111/j.1479-828x.1992.tb01931.x · PMID:1387786 · W1982907704
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Surgical excision of endometriomas ≥ 1 cm, with or without ovarian closure, resulted in pain relief for 50 of 52 patients and pregnancy in 26 within one year.

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Abstract

Fifty two patients with endometriomas greater than 1 cm were treated by surgical excision either with or without ovarian closure. Diagnosis is reliable when clinical features of the pain, vaginal ultrasound, and laparoscopy, including ovarian mobilization and needling, are considered. Fifty of 52 patients were free of pain after 1 year and 26 (50%) became pregnant within 1 year. A second laparoscopy is justified if pain persists or pregnancy does not occur. Adhesive disease was the most common complication (40%), and persistent or recurrent endometriosis occurred in 15%. Surgery by laparoscopy with drainage and excision of the endometrioma without ovarian sutures may be more effective than excision of the endometrioma and ovarian suture.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Ovarian Neoplasms Ovary Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Humans Humans Laparoscopy Laparoscopy Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Ovary Ovary Reoperation

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (12)

Cited by (19)

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