Combined technique of excision and ablation for the surgical treatment of ovarian endometriomas: the way forward?
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⤵ 22 in-corpus citations
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This study examines the combined technique of excision and ablation for the surgical treatment of ovarian endometriomas, exploring its potential as a future therapeutic approach.
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Abstract
Surgical treatment of ovarian endometriosis has been associated with damage to the ovarian tissue and premature ovarian failure in young patients. A modified surgical technique that combines cyst excision with ablation for the surgical treatment of ovarian endometriomas is presented, with the aim of reducing possible damage to the ovarian tissue without jeopardizing the results of surgery in terms of subsequent pregnancies and symptom relief. The modified technique is a combination of the excision technique, adopted for most of the procedure, with the coagulation technique, adopted at the ovarian hilus to better preserve normal ovarian tissue and vascularization of the ovary. Postoperative follow-up of patients operated on with this modified technique indicates that the technique is feasible and safe, with no apparent damage to the ovary.
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References (7)
- Excisional surgery versus ablative surgery for ovarian endometriomata: a Cochrane Review via openalex
- Is operative laparoscopy safe in ovarian endometriosis? via openalex
- Laparoscopic stripping of endometriomas: a randomized trial on different surgical techniques. Part I: Clinical results via openalex
- Laparoscopic stripping of endometriomas: a randomized trial on different surgical techniques. Part II: pathological results via openalex
- Large ovarian endometriomas via openalex
- Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique via openalex
- W2063086232 via openalex
Cited by (22)
- Retrospective Audit: The Irreversible Change in Ovarian Reserve After Formal Cystectomy for Ovarian Endometrioma 2025
- Impact of Surgery for Ovarian Endometriomas on the Outcomes of In Vitro Fertilization 2024
- Expectant, Medical, and Surgical Management of Ovarian Endometriomas 2023
- Appropriate surgical management of ovarian endometrioma: excision or drainage? 2021
- Laparoscopic Ethanol Sclerotherapy for Ovarian Endometriomas: Preliminary Results 2020
- Impact of Endometrioma Surgery on Ovarian Reserve 2020
- Endometrioma and reproductive issues: a well-informed patient may be the driver for change 2020
- Management of endometriosis from diagnosis to treatment: roadmap for the future 2019
- Medical and Surgical Management of Endometriosis 2018
- Endometrioma, fertility, and assisted reproductive treatments: connecting the dots 2018
- Laparoscopic Surgery in the Treatment of Endometriosis 2017
- Management of Endometriomas Prior to IVF 2017
- Analysis of pregnancy outcome and decline of anti‐Müllerian hormone after laparoscopic cystectomy for ovarian endometriomas 2016
- Second surgery for recurrent unilateral endometriomas and impact on ovarian reserve: a case-control study 2015
- Management of Endometriosis 2015
- Second surgery for recurrent endometriomas is more harmful to healthy ovarian tissue and ovarian reserve than first surgery 2015
- Comparison between the stripping technique and the combined excisional/ablative technique for the treatment of bilateral ovarian endometriomas: a multicentre RCT 2015
- Current Strategies for Endometriosis Management 2015
- The effect of surgery for endometrioma on ovarian reserve evaluated by antral follicle count: a systematic review and meta-analysis 2014
- Ovarian Endometrioma: What the Patient Needs 2014
- Computer-assisted reproductive surgery: why it matters to reproductive endocrinology and infertility subspecialists 2014
- Endometrioma-Associated Infertility: Is Surgery Still the Best Way to Go? 2013
Source provenance
- europepmc
- last seen: 2026-07-30T06:25:42.655704+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:17:18.915199+00:00
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