Recurrence factors in women underwent laparoscopic surgery for endometrioma.
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This retrospective study identified larger endometrioma diameter, previous pelvic surgery, presence of pelvic adhesions, and elevated Ca 125 levels as significant risk factors for endometrioma recurrence after laparoscopic surgery.
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Abstract
AIM: The aim of this paper was to assess the risk factors for endometrioma recurrence in women underwent laparoscopic surgery for endometrioma. METHODS: This retrospective designed study included 113 cases that underwent laparoscopic surgery for endometrioma; of these women, recurrent endometrioma was detected in 33 (29.20%) subjects and other showed no recurrence (70.80%). Age, gravidity, parity, diameter of the mass, bilaterality, previous pelvic surgery, operation type, presence of adhesions, Ca 125 levels and recurrence time was obtained from hospital records and special gynecology forms. RESULTS: Demographic and obstetric past history of the cases showed no statistically significant difference between the groups (P>0.05). Higher diameter of the mass, previous pelvic surgery, operation type, presence of adhesion and higher Ca 125 levels were risk factors for endometrioma recurrence (P<0.05). Receiver operator curve (ROC) analysis demonstrated that diameter of the mass, previous pelvic surgery and Ca 125 levels may be discriminative risk factors for endometrioma recurrence. CONCLUSION: Endometriomas ≥ 4.5 cm, especially in cases with pelvic adhesions, previous pelvic surgery and higher Ca 125 levels should be excised totally.
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Cited by (17)
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- Does Programmed Cell Death 1 Ligand (Pd-L1) Expression Predict Recurrence in Women With Endometrioma? 2024
- Analysis of cell immune regulation features in recurrent ovarian endometriosis 2022
- Risk factors for recurrence of ovarian endometriomas after surgical treatment: retrospective cohort study 2021
- Prevalence of Common Gynecological Conditions in the Middle East: Systematic Review and Meta-Analysis 2021
- Risk Factors for Postoperative Recurrence of Ovarian Endometrioma in Young Women 2021
- Risk Factors for Postoperative Recurrence of Ovarian Endometrioma in Young Women 2021
- Risk factors for ovarian endometrioma recurrence following surgical excision: a systematic review and meta‑analysis 2021
- The pain symptoms and mass recurrence rates after ovarian cystectomy or uni/bilateral oophorectomy procedures in patients over 40 years old with endometriosis 2020
- Treatment of ovarian endometrial cystsin thecontext of recurrence and fertility 2019
- Risk factors for postoperative recurrence of ovarian endometriosis: long-term follow-up of 358 women 2019
- Risk Factors for Recurrence of Ovarian Endometriosis in Chinese Patients Aged 45 and Over 2018
- Clinical experience of long-term use of dienogest after surgery for ovarian endometrioma 2018
- Reduction of the risk of ovarian endometriosis recurrence 2018
- Curative effect of 1.88‐mg and 3.75‐mg gonadotrophin‐releasing hormone agonist on stage III–IV endometriosis: Randomized controlled study 2017
- Determinant factors of postoperative recurrence of endometriosis: difference between endometrioma and pain 2016
- Recurrence of Endometrioma Following Conservative Ovarian Endometrioma Cystectomy: Laparoscopy versus Laparotomy. 2015
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