[Recurrent functional ovarian cysts following laparoscopy fenestration].

De Wilde R, Mohr B, Hesseling M, Aschoff J
Geburtshilfe und Frauenheilkunde · 1989 · doi:10.1055/s-2008-1036293 · PMID:2533120
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Among 104 patients undergoing laparoscopic fenestration for functional ovarian cysts, an 8% recurrence rate was observed over 20 months, with pelvic adhesions and corpus luteum cysts increasing risk while postoperative hormonal therapy provided no protection.

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This study evaluated the efficacy of laparoscopic fenestration for functional ovarian cysts in a cohort of 104 patients, with a mean follow-up period of 20 months. The procedure involved aspirating cyst contents and creating a window in the cyst wall to allow for endocystic inspection and tissue sampling. Results indicated an overall recurrence rate of 8%, which was significantly higher in cases involving pelvic adhesions or corpus luteum cysts compared to follicular cysts. The authors explicitly noted that postoperative hormone therapy did not demonstrate a protective effect against recurrence in this patient group. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

The laparoscopic fenestration of functional ovarian cysts with a benign appearance is well known. After aspiration of the contents of the cyst, a window is cut in the cyst wall for an endocystic inspection. In this way, samples for cytology as well as histopathology are obtained. A laparoscopic fenestration was performed on 104 patients. During a mean follow-up time of 20 months, we found a recurrence of 8% in 91 patients. In the presence of pelvic adhesions, the functional cysts tend to reoccur. Corpus luteum cysts have a higher recurrence-rate than follicular cysts. In our study postoperative hormon-therapy recorded no protective effect.
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DOI: 10.1055/s-2008-1036293 Rezidive funktioneller Ovarialzysten nach laparoskopischer Fensterung Relapsing Functional Ovarian Cysts after Laparoscopic FenestrationPublication History Publication Date: 18 March 2008 (online) Zusammenfassung Die laparoskopische Fenslerung funktioneller Ovarialzysten ist ein bekanntes Verfahren. Nach Aspiration des Zysteninhaltes wird ein Fenster in den Zystenbalg geschnitten. Auf diesem Wege gewinnt man Material für Zytologie und Histologie. Die endozystische Inspektion bietet die Möglichkeit der gezielten Probeexzision aus der Basis der Zyste. Eine laparoskopische Fensterung wurde bei 104 Patientinnen vorgenommen. Während des Follow-up (mittlerer Untersuchungszeitraum: 20 Monate) fand sich bei 91 Patienten eine Rezidivrate von 8%. Bei Adhäsionen im kleinen Becken war die Rezidivquote erhöht. Corpus luteum-Zyslen zeigten eine stärkere Neigung zu Rezidiven. Ein protektiver Effekt der postoperativen Hormontherapie ließ sich in unserer Studie nicht sichern. Abstract The laparoscopic fenestration of functional ovarian cysts with a benign appearance is well known. After aspiration of the Contents of the cysl, a window is cut in the cyst wall for an endocystic inspection. In this way, samples for cytology as well as histopathology ane obtained. A laparoscopic fenestration was performed on 104 patients. During a mean follow-up time of 20 months, we found a recurrence of 8% in 91 patients. In the presenee of pelvic adhesions, the functional cysts tend to reoccur. Corpus luteum cysts have a higher recurrence-rate than follicular cysts. In our study postoperative hormontherapy recorded no protective effect.

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