Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique

Brosens IA, I A Brosens, Ivo Brosens, Van Ballaer P, Paul Van Ballaer, P Van Ballaer, P Puttemans, Puttemans P, Patrick Puttemans, Jan Deprest, J Deprest
Fertility and Sterility · 1996 · vol. 66(4) , pp. 517–521 · doi:10.1016/s0015-0282(16)58561-6 · PMID:8816610 · W184480604
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This paper details an extraovarian surgical technique to reconstruct an ovary affected by large endometriomas.

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Abstract

ObjectiveTo describe and evaluate the surgical treatment of large ovarian endometriomas by an extraovarian endosurgical technique.DesignProspective case series study.SettingUniversity center and tertiary referral center for endoscopic surgery.PatientsPatients with large ovarian endometriomas.InterventionA two-step endosurgical procedure: the first step is a combined diagnostic and operative procedure confirming the diagnosis and preparing the involution of the pseudocyst and the second step includes adhesiolysis and superficial coagulation of the inverted cortex.Main outcome measuresOperative findings and recurrence of endometriomas in the operated ovaries.ResultsSixteen patients presenting with 20 large typical ovarian endometriomas were operated using the two-step endosurgical technique. Both steps were performed on 18 endometriomas. One patient with bilateral endometriomas refused the second endoscopic procedure. The long-term follow-up showed no recurrence in the 18 ovaries that were treated by the two-step endoscopic technique.ConclusionsThe two-step extraovarian endosurgical technique can be applied in large typical endometriomas to reconstruct the ovary without excision and is followed by a low recurrence rate.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ovarian Diseases Ovary Adult Cystoscopy Endometriosis Female Humans Ovarian Diseases Ovary Prospective Studies Triptorelin Pamoate Triptorelin Pamoate

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