Laparoscopic ovarian cystectomy of endometriomas: surgeons' experience may affect ovarian reserve and live-born rate in infertile patients with in vitro fertilization-intracytoplasmic sperm injection

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This study investigated whether surgeons' experience during laparoscopic ovarian cystectomy for endometriomas impacts ovarian reserve and live-born rates in infertile patients undergoing IVF-ICSI.

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Abstract

OBJECTIVE: To assess whether the laparoscopist's experience can affect ovarian reserve and pregnancy outcome in vitro fertilization-intracytoplasmic sperm injection (IVF-ICSI) patients who previously underwent laparoscopic conservative treatment for ovarian endometriomas. STUDY DESIGN: One hundred and forty-nine IVF-ICSI cycles with infertile patients who previously underwent laparoscopic conservative treatment for ovarian endometriomas were enrolled. There were 76 cycles with an inexperienced surgeon and 73 cycles with an experienced surgeon. RESULTS: The number of antral follicle count (7.5±3.8 vs. 9.6±6.6; p=0.011), and live-born rate per cycle (9.3% vs. 32.9%; p<0.001) were significantly lower in the inexperienced group comparing with the experienced group. However, the mean number of oocytes, fertilization rate, mean number of embryos transferred, rate of good-quality embryos transferred, implantation rate and clinical pregnancy were similar between both groups. CONCLUSIONS: The experience of the laparoscopist may affect ovarian reserve and live-born rate after treating ovarian endometrioma in infertile women with IVF-ICSI.

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Condition tags

endometriosis

MeSH descriptors

Clinical Competence Clinical Competence Endometriosis Infertility, Female Laparoscopy Ovary Pregnancy Outcome Pregnancy Outcome Adult Adult Endometriosis Endometriosis Female Female Fertilization in Vitro Fertilization in Vitro Gynecologic Surgical Procedures Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (21)

Cited by (42)

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europepmc
last seen: 2026-10-11T09:27:45.537177+00:00
openalex
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pubmed
last seen: 2026-10-08T21:08:04.945943+00:00
License: CC0 · commercial use OK