Ovarian Blood Flow Before and After Conservative Laparoscopic Treatment for Endometrioma
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This study investigated changes in ovarian blood flow using Doppler ultrasound before and after laparoscopic cystectomy for ovarian endometriomas to assess surgical impact on ovarian vascularity.
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Abstract
To evaluate the vascular changes in ovaries affected by endometriomas 28 women with ovarian endometriosis underwent transvaginal ultrasound with color flow imaging and blood flow analysis of the ovarian artery before and after laparoscopic conservative treatment of the ovarian cyst. Mean pulsatility index (P.I.) and resistance index (R.I.) of the ovarian artery on the side affected by endometrioma were compared using Student's t-test. Mean P.I. after laparoscopy (1.59) was significantly lower (p = 0.001) than before surgical intervention (2.17). Analogously the mean R.I. was significantly different (p = 0.001) when compared before (0.81) and after (0.73) laparoscopy. Color Doppler velocimetry may add greater understanding of the ovarian hemodynamic changes that occur after conservative surgery on the ovary.
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Cited by (25)
- Effect of Laparoscopic Ovarian Cystectomy of Endometriotic and Non-Endometriotic Cysts on Ovarian Volume, Ovarian Reserve and Ovarian Doppler Velocimetry 2022
- Lasers in gynaecology - Are they still obsolete? Review of past, present and future applications. 2020
- A randomised comparative study of ovarian reserve following two different techniques of laparoscopic cystectomy in ovarian endometrioma 2019
- Endometrioma, fertility, and assisted reproductive treatments: connecting the dots 2018
- Surgical excision of ovarian endometriomas: Does it truly impair ovarian reserve? Long term anti‐Müllerian hormone (AMH) changes after surgery 2015
- Laparoscopic excision of ovarian endometrioma does not exert a qualitative effect on ovarian function: insights from in vitro fertilization and single embryo transfer cycles 2015
- Compared with Cystectomy, Is Ovarian Vaporization of Endometriotic Cysts Truly More Effective in Maintaining Ovarian Reserve? 2014
- Assessment of ovarian reserve using anti-Müllerian hormone levels in benign gynecologic conditions and surgical interventions: a systematic narrative review 2014
- Effect of Surgery for Endometrioma on Ovarian Function 2013
- Comparing long term impact on ovarian reserve between laparoscopic ovarian cystectomy and open laprotomy for ovarian endometrioma 2013
- COMPARATIVE STUDY BETWEEN LAPAROSCOPIC AND OPEN OVARIAN CYSTECTOMY ON OVARIAN RESERVE 2013
- Utero-ovarian hemodynamics after laparoscopic treatment of infertility caused by moderate to severe endometriosis 2013
- Ovarian damage after laparoscopic endometrioma excision might be related to the size of cyst 2013
- Ultrasonographic evaluation and anti-mullerian hormone levels after laparoscopic stripping of unilateral endometriomas 2011
- Laparoscopic surgery for endometriosis-associated infertility: a pathophysiologic approach 2010
- Effects of laparoscopic surgery on serum anti-müllerian hormone levels in reproductive-aged women with endometrioma 2010
- Tubo-Ovarian Abscess (TOA) Due to Bilateral Ovarian Endometriomas: Conservative Treatment to Retain Fertility-A Case Report 2010
- Endometrioma Excision and Ovarian Reserve: A Dangerous Relation 2009
- IVF-ICSI outcome in women operated on for bilateral endometriomas 2008
- The impact of electrocoagulation on ovarian reserve after laparoscopic excision of ovarian cysts: a prospective clinical study of 191 patients 2008
- Is it of value to treat endometriosis prior to IVF 2006
- Damage to ovarian reserve associated with laparoscopic excision of endometriomas: A quantitative rather than a qualitative injury 2005
- Should endometriomas be treated before IVF–ICSI cycles? 2005
- Endometriotic ovarian cysts: the case for ablative laparoscopic surgery 2001
- Endometriomas: a review of modern management 2000
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