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Objective: To identify the characteristics of endometrioma recurrence cases.

This study was a descriptive retrospective, using secondary data taken from all medical records of Clinic Aster and Medical Records Installation in Dr. Hasan Sadikin General Hospital, Bandung, from 1st January 2018 – 31st December 2022. Data were presented in tables.

Of the 37 endometrioma recurrences, most of the patients are 20 to 35 in age. None of them has a parity history after the first surgical procedure. Both previous and recent cases are dominantly unilateral endometriomas. The history of postoperative medication is higher (54,1%). Obstetricians/Gynecologists appear to perform the most surgical procedure (67,6%). Mass is the main clinical manifestation of the recurrence. While menstrual and BMI profiles appear to be normal.

The characteristic of the recurrence of endometrioma is related parity status after the first surgery, history of the previous medical treatment, and previous form of endometrioma are related to the current characteristic of endometrioma (age, lesion form, clinical manifestation, and recurrence interval). Karakteristik Pasien Endometrioma Rekuren Abstrak Tujuan: Mengetahui karakteristik dari pasien endometrioma rekuren. Metode: Penelitian ini merupakan penelitian deskripsi retrospektif dengan menggunakan data sekunder yang diambil dari seluruh rekam medis pasien kista endometriosis rekuren di Klinik Aster dan Instalasi Rekam Medis di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung dengan periode 1 Januari 2018 – 31 Desember 2022. Kemudian, data-data disajikan dalam bentuk tabel. . Hasil: Dari 37 kasus e ndometrioma rekuren, sebagian besar pasien berusia 20 hingga 35 tahun. Seluruh pasien tidak mempunyai riwayat paritas setelah prosedur pembedahan sebelumnya. Baik kasus-kasus kista endometriosis sebelumnya maupun yang kambuh, keduanya dominan dalam bentuk unilateral. Riwayat pengobatan pasca operasi lebih tinggi (54,1%). Dokter Spesialis Obstetri/Ginekologi tampak melakukan tindakan pembedahan terbanyak (67,6%). Massa adalah manifestasi klinis utama dari kekambuhan. Selain itu, profil menstruasi dan BMI tampak normal. Kesimpulan: Karakteristik pada endometrioma rekuren berkaitan dengan status paritas setelah operasi pertama, riwayat pengobatan medis sebelumnya, dan bentuk endometrioma sebelumnya berhubungan dengan karakteristik endometrioma saat ini (usia, bentuk lesi, manifestasi klinis, dan rentang rekurensi) Kata kunci: karakteristik, rekuren, endometrioma

Full Text: PDFReferences Méar L, Herr M, Fauconnier A, Pineau C, Vialard F. Polymorphisms and endometriosis: A systematic review and meta-analyses. Hum Reprod Update. 2020;26(1):73–103. Jiang D, Zhang X, Shi J, Tao D, Nie X. Risk factors for ovarian endometrioma recurrence following surgical excision: a systematic review and meta analysis. Vol. 304, Archives of Gynecology and Obstetrics. Springer Science and Business Media Deutschland GmbH; 2021. p. 589–98. Hoyle AT, Puckett Y. Endometrioma. Medical Journal of Australia. 2022;2(20):614–6. Wattanayingcharoenchai R, Rattanasiri S, Charakorn C, Attia J, Thakkinstian A. Postoperative hormonal treatment for prevention of endometrioma recurrence after ovarian cystectomy: a systematic review and network meta-analysis. Vol. 128, BJOG: An International Journal of Obstetrics and Gynaecology. Blackwell Publishing Ltd; 2021. p. 25–35. Wang Y, Li B, Zhou Y, Wang Y, Han X, Zhang S, et al. Does Endometriosis Disturb Mental Health and Quality of Life? A Systematic Review and Meta-Analysis. Vol. 86, Gynecologic and Obstetric Investigation. S. Karger AG; 2021. p. 315–35. Koga K, Takamura M, Fujii T, Osuga Y. Prevention of the recurrence of symptom and lesions after conservative surgery for endometriosis. Vol. 104, Fertility and Sterility. Elsevier Inc.; 2015. p. 793–801. Armour M, Lawson K, Wood A, Smith CA, Abbott J. The cost of illness and economic burden of endometriosis and chronic pelvic pain in Australia: A national online survey. Vol. 14, PLoS ONE. Public Library of Science; 2019. Zhao XW, Zhang MM, Zhao J, Zhao W, Kang S. Correlative factors associated with the recurrence of ovarian endometriosis: A retrospective study. Clin Exp Obstet Gynecol. 2021;48(4):962–8. Li XY, Chao XP, Leng JH, Zhang W, Zhang JJ, Dai Y, et al. Risk factors for postoperative recurrence of ovarian endometriosis: Long-term follow-up of 358 women. J Ovarian Res. 2019;12(1). Yang F, Liu B, Xu L, Liu H. Age at surgery and recurrence of ovarian endometrioma after conservative surgery: a meta-analysis including 3125 patients. Vol. 302, Archives of Gynecology and Obstetrics. Springer; 2020. p. 23–30. Mettler L, Alkout Ibrahim, Keckstein J, Meinhold-Heerlein I. Endometriosis: a concise practical guide to current diagnosis and treatment. 2nd ed. Tuttlingen: Endo : Press; 2017. Choi SH, Kim S, Lee SW, Won S, Shim SH, Lee N, et al. Recurrence, Reoperation, Pregnancy Rates, and Risk Factors for Recurrence after Ovarian Endometrioma Surgery: Long-Term Follow-Up of 756 Women. Yonsei Med J. 2023;64(3):204. Hwang H, Chung YJ, Lee SR, Park HT, Song JY, Kim H, et al. Clinical evaluation and management of endometriosis: guideline for Korean patients from Korean Society of Endometriosis. Obstet Gynecol Sci. 2018;61(5):553. Young H, Bui TL, Cramer SE, O’Connell R, Houshyar R. Ruptured endometrioma in a nonpregnant patient: a case report. J Med Case Rep. 2022;16(1):1–4. Wang P, Fang L. Salpingo-oophorectomy versus cystectomy in patients with borderline ovarian tumors: a systemic review and meta-analysis on postoperative recurrence and fertility. World J Surg Oncol. 2021;19(1):1–8. Gałczyński K, Jóźwik M, Lewkowicz D, Semczuk-Sikora A, Semczuk A. Ovarian endometrioma - A possible finding in adolescent girls and young women: A mini-review. J Ovarian Res. 2019;12(1):1–8. Endometriosis. ESHRE Endometriosis Guideline Development Group; 2022. Patient Medication Adherence: Measures in Daily Practice - PMC. King MA, Pryce RL. Evidence for compliance with long-term medication: A systematic review of randomised controlled trials. Int J Clin Pharm. 2014;36(1):128–35. Somigliana E, Viganò P, Benaglia L, Busnelli A, Paffoni A, Vercellini P. Ovarian stimulation and endometriosis progression or recurrence: a systematic review. 2018; Yun KY, Hwang SY, Lee HJ, Kim SC, Joo JK, Suh DS, et al. The association of body mass index with incidence, stage and recurrence of endometriosis: Case-control study in Korean women. Clin Exp Obstet Gynecol. 2020;47(1):53–6. Okifuji A, Hare BD. The association between chronic pain and obesity. Vol. 8, Journal of Pain Research. Dove Medical Press Ltd.; 2015. p. 399–408. Liu Y, Zhang W. Association between body mass index and endometriosis risk: a meta-analysis. Oncotarget. 2017;8:46928–36. Yun KY, Hwang SY, Lee HJ, Kim SC, Joo JK, Suh DS, et al. The association of body mass index with incidence, stage and recurrence of endometriosis: Case-control study in Korean women. Clin Exp Obstet Gynecol. 2020;47(1):53–6. Grandi G, Toss A, Cortesi L, Botticelli L, Volpe A, Cagnacci A. The Association between Endometriomas and Ovarian Cancer: Preventive Effect of Inhibiting Ovulation and Menstruation during Reproductive Life. Vol. 2015, BioMed Research International. Hindawi Limited; 2015. DOI: http://dx.doi.org/10.24198/obgynia.v6i3.576 Refbacks - There are currently no refbacks. This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.