The Ovarian Endometrioma: Pathophysiology, Diagnosis and Surgery

In: Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology · 2003 · pp. 196–203 · doi:10.1007/978-1-4471-0655-5_27 · W1751086240
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This chapter discusses the pathophysiology, diagnosis, and conservative surgical techniques for ovarian endometriomas, a severe form of endometriosis affecting fertility and causing pelvic pain.

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This chapter reviews the ovarian endometrioma as a severe form of endometriosis, focusing on its pathophysiology, diagnosis, and conservative reconstructive surgical techniques. It describes that ovarian endometriomas often present in women of early reproductive age, may be asymptomatic or associated with acute and chronic pelvic pain, and are frequently initially unilateral but later can become bilateral. The chapter emphasizes that the first surgical procedure is important for preserving ovarian reproductive and endocrine functions. This paper is centrally about endometriosis — specifically ovarian endometriomas and their pathophysiology, diagnosis, and conservative surgery.

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Abstract

The ovarian endometrioma represents a severe stage of endometriosis, which, by affecting women in their early reproductive life, can be a major threat to their fertility. It is frequently asymptomatic, but is also a cause of acute and chronic pelvic pain. When initially present on one side, it is likely to affect the other side later. The first surgical procedure is therefore critical for the preservation of the reproductive and endocrine functions of the ovary. In this chapter, we will discuss the pathophysiology, the diagnosis and the techniques of conservative reconstructive surgery. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Abstracts of the 5th Meeting of the Middle East Fertility Society, Amman, Jordan, November 18–20, p 6 Martin DC, Berry JD (1990) Histology of chocolate cysts. J Gynecol Surg 6:43–46 Rights and permissions Copyright information © 2003 Springer-Verlag London Limited About this chapter Cite this chapter Brosens, I., Campo, R., Gordts, S. (2003). The Ovarian Endometrioma: Pathophysiology, Diagnosis and Surgery. In: Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology. Springer, London. https://doi.org/10.1007/978-1-4471-0655-5_27 Download citation DOI: https://doi.org/10.1007/978-1-4471-0655-5_27 Publisher Name: Springer, London Print ISBN: 978-1-4471-1170-2 Online ISBN: 978-1-4471-0655-5 eBook Packages: Springer Book Archive

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