Oophorectomy at the time of surgery for moderate endometriosis: a survey of Australian gynaecologists

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A survey of Australian gynecologists found that a conservative surgical approach is favored for moderate endometriosis, with only 27.5% opting for hysterectomy combined with bilateral oophorectomy.

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Abstract

The decision to perform bilateral oophorectomy at the time of surgery for endometriosis is dependent upon many factors, one of which is the opinion of the surgeon concerned. At present there is no consensus on this subject, and in an attempt to document current opinion, we performed a postal survey of all Fellows of RANZCOG living within Australia. The questionnaire presented the Fellow with a clinical scenario describing moderate endometriosis, and then asked him/her to select their preferred option for each of a number of anatomical areas. Out of 1,050 questionnaires, 688 (65.5%) were returned. Analysis of these replies suggests that current opinion supports a conservative approach to surgery, with only 27.5% of Fellows electing to perform a hysterectomy in conjunction with bilateral oophorectomy.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Gynecology Hysterectomy Ovariectomy Patient Selection Practice Patterns, Physicians' Adult Drainage Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Estrogen Replacement Therapy Female Gynecology Humans Hysteroscopy Menorrhagia Menorrhagia

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 (15)

Cited by (3)

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