Ablation, excision, sclerotherapy: what is better in cases of small ovarian endometriomas?

A.I. Davydov, M.B. Tairova, М.N. Shakhlamova
In: Voprosy ginekologii, akušerstva i perinatologii · 2019 · vol. 18(4) , pp. 138–140 · doi:10.20953/1726-1678-2019-4-138-140 · W2986415701
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-11 ⓘ

This review discusses surgical treatments for ovarian endometriomas, finding cystectomy reduces ovarian reserve, ablation has high recurrence, but stripping combined with ablation offers efficacy, while sclerotherapy is best for young women under 25.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper discusses surgical treatment approaches for small ovarian endometriomas, comparing cystectomy (with different methods of hemostasis), isolated ablation, and combined stripping plus ablation, as well as sclerotherapy. It states that cystectomy, regardless of hemostasis method, reduces ovarian reserve and worsens endometriosis-associated infertility, and that isolated ablation of the endometrial capsule has a high recurrence frequency. The authors argue that combining stripping and ablation provides maximum efficacy and safety, while sclerotherapy is described as optimal only for young women (≤25 years) who do not have pregnancy and do not plan to become pregnant, implying these are key limitations/indications. This paper is centrally about endometriosis — specifically, comparative operative strategies for small ovarian endometriomas.

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Gynecology, Obstetrics and Perinatology - Gynecology, Obstetrics and Perinatology - 2019 volume 18 issue 4 Ablation, excision, sclerotherapy: what is better in cases of small ovarian endometriomas? Authors / Institutions Aleksandr I. Davydov / Marina B. Tairova / Marina N. Shakhlamova / A point of view regarding the methods of surgical treatment of patients with endometriomas is considered. Cystectomy, regardless of the method of hemostasis, reduces ovarian reserve and aggravates the problem of infertility associated with endometriosis. Isolated ablation of the endometrial capsule is associated with a high frequency of recurrence of the pathology. The combination of stripping and ablation ensures maximum efficacy and safety of treatment. Sclerotherapy has certain conditions and indications, it is optimal in young women no older than 25 years old, who do not have pregnancy and do not plan to become pregnant. Key words: endometrioma, operative treatment, stripping, ablation, PlasmaJet, sclerotherapy. For citation: Davydov A.I., Tairova M.B., Shakhlamova M.N. Ablation, excision, sclerotherapy: what is better in cases of small ovarian endometriomas? Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2019; 18(4): 138–140. (In Russian). DOI: 10.20953/1726-1678-2019-4-138-140 and indications, it is optimal in young women no older than 25 years old, who do not have pregnancy and do not plan to become pregnant. Key words: endometrioma, operative treatment, stripping, ablation, PlasmaJet, sclerotherapy. For citation: Davydov A.I., Tairova M.B., Shakhlamova M.N. Ablation, excision, sclerotherapy: what is better in cases of small ovarian endometriomas? Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2019; 18(4): 138–140. (In Russian). DOI: 10.20953/1726-1678-2019-4-138-140

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