Ethanol sclerotherapy of ovarian endometrioma: a safe and effective minimal invasive procedure. Preliminary results

Sclerotherapy in the management of ovarian endometrioma: systematic review and meta-analysis

“…Finally, therefore, 18 studies were included in the present review. Supplemental Tables 1 and 2 show study characteristics and risk of bias (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30).…”

“…All of those studies included women with an endometrioma diagnosed with the use of ultrasound or magnetic resonance imaging. Only five studies used an objective cutoff level to define endometrioma recurrence (13,(21)(22)(23)26). The mean follow-up time after sclerotherapy ranged from 1 to 24 months.…”

Analysis of the ectoenzymes ADA, ALP, ENPP1, and ENPP3, in the contents of ovarian endometriomas as candidate biomarkers of endometriosis

“…Laparoscopic cystectomy is the most widely used technique to excise ovarian endometriomas, although there are associated surgical risks. Nowadays, there is a new minimally invasive interventional technique to treat ovarian cysts, ultrasound‐guided aspiration followed by sclerosis, which seems to yield a low recurrence risk and better preservation of ovarian reserves …”

Benefits of Surgical Intervention in Women with Endometriosis-Related Infertility

“…In difficult cases (adhesions, high risks of anesthesia, recurrence of small endometrioma), transvaginal puncture by ultrasound guidance could be recommended. According to different publications, the recurrence rate for sclerotherapy is 9.1-66.7% and could be decreased to 12% by the use of 95% ethanol in situ [18]. However, this procedure has been associated with postoperative pelvic abscesses.…”