Laparoscopic management of ovarian endometriomas: a critical review of current practice

Jones KD, K D Jones, C J Sutton, Sutton CJ
Current opinion in obstetrics & gynecology · 2000 · doi:10.1097/00001703-200008000-00008 · PMID:10954152
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This review evaluates the evidence for laparoscopic management of ovarian endometriomas, finding surgical equivalence to laparotomy and no clear superiority among minimal access techniques due to inconsistent study designs.

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This review article critically appraises the existing literature regarding the laparoscopic management of ovarian endometriomas, noting that their etiology and treatment remain controversial. The authors evaluate evidence comparing surgical approaches and conclude that laparoscopic surgery is equivalent to laparotomy, with no single minimal access technique proving clearly superior due to inconsistent study designs. To address these gaps, the paper outlines and justifies a specific management strategy for handling endometriomas based on current clinical practice. This paper is centrally about endometriosis — specifically focusing on the surgical treatment of ovarian endometriomas via laparoscopy.

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Abstract

Endometriomas are a common cause of gynaecological morbidity, but their aetiology and management remain controversial This review focuses on identifying the evidence from published literature for the laparoscopic management of ovarian endometriomas. A critical appraisal shows that laparoscopic surgery is equivalent to laparotomy. There is no evidence to suggest that one minimal access surgical technique is clearly superior to another. However, this may be related to the inconsistencies in study design. In view of this we describe and justify our own management strategy for dealing with endometriomas.
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Review Article Laparoscopic management of ovarian endometriomas: a critical review of current practice - Kevin D Jones - Christopher J.G Sutton Current Opinion in Obstetrics & Gynecology 12(4):p 309-315, August 2000. Endometriomas are a common cause of gynaecological morbidity, but their aetiology and management remain controversial This review focuses on identifying the evidence from published literature for the laparoscopic management of ovarian endometriomas. A critical appraisal shows that laparoscopic surgery is equivalent to laparotomy. There is no evidence to suggest that one minimal access surgical technique is clearly superior to another. However, this may be related to the inconsistencies in study design. In view of this we describe and justify our own management strategy for dealing with endometriomas. Copyright © 2000 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Ovarian Diseases Endometriosis Endometriosis Endometriosis Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Ovarian Diseases Ovarian Diseases Ovarian Diseases Pregnancy Recurrence Suction Ultrasonography

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