Efficacy of laparoscopically-assisted extracorporeal cystectomy in patients with ovarian endometrioma

Ceyhan T, Temel Ceyhan, Atay V, Vedat Atay, Sadettin Gungor, Sadettin Güngör, Gungor S, Ateş Karateke, Ates Karateke, Karateke A, Ozay Oral, Oral O, Özay Oral, İskender Başer, Iskender Baser, Baser I
Journal of Minimally Invasive Gynecology · 2006 · vol. 13(2) , pp. 145–149 · doi:10.1016/j.jmig.2006.01.004 · PMID:16527718 · W2150123634
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This study investigated the effectiveness of laparoscopically-assisted extracorporeal cystectomy for treating ovarian endometriomas.

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Abstract

Study objectiveTo investigate the usefulness and effectiveness of the extracorporeal surgical technique in the treatment of endometriomas.DesignRetrospective evaluation (Canadian Task Force Classification II-2).SettingDepartment of gynecology in a tertiary care faculty hospital and training hospital.PatientsOf 89 patients with endometrioma, 53 had laparoscopic stripping, and 36 had laparoscopically-assisted extracorporeal cystectomy.InterventionsLaparoscopic stripping and laparoscopically-assisted extracorporeal cystectomy were performed for the treatment of endometriomas diagnosed laparoscopically.Measurements and main resultsThe size of the endometrioma diagnosed by the ultrasonographic examination was not statistically related to the severity of the endometriosis (p = .42). Conversion to extracorporeal technique was required in 17 of 58 cases with moderate endometriosis and 14 of 31 cases with severe endometriosis (p = .04). Operation time, visual analogue pain score, and hospitalization periods were similar between the 2 techniques. Among 53 specimens obtained with laparoscopic stripping, 29 (55%) had no ovarian tissue, and 24 (45%) had ovarian tissue with follicles. Of 36 specimens obtained with extracorporeal technique, 19 (52%) had no ovarian tissue, and 17 (48%) had ovarian tissue with follicles. Preservation of the ovarian tissue was not significantly different between both surgical techniques.ConclusionsExtracorporeal technique with laparoscopically-assisted minilaparotomy is a valuable alternative for laparoscopic stripping in selected cases.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Laparoscopes Laparoscopy Ovarian Cysts Adult Endometriosis Endometriosis Female Follow-Up Studies Humans Infertility, Female Laparoscopy Laparotomy Laparotomy Minimally Invasive Surgical Procedures Minimally Invasive Surgical Procedures Ovarian Cysts Ovarian Cysts Probability Retrospective Studies

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