Ovarian cystectomy in endometriomas: Combined approach

Ünlü, Cihat; Yıldırım, Gazi

doi:10.5152/jtgga.2014.1111

Cited by 16 publications

(13 citation statements)

References 31 publications

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“…Moreover, heating the tissue in order to stop bleeding during the surgery www.cajms.mn ovarian tissue and create another adhesion site. There are several reports demonstrated ovarian deficiency after stripping endometrioma from both ovaries [20]. In the present study, we have confirmed 2 cases of endometrioma recurrence in Group I patients who were administered progesterone after surgery, while there was not any cyst recurrence in the patients who had the same progesterone treatment before the surgery.…”

Section: Discussionsupporting

confidence: 83%

Results of Surgical Treatment of Ovarian Endometrioma

Choijiljaw

Sonomjamts

Darmaa

2021

Cent. Asian j. Med. Sci.

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Objective: Diagnosing and treating ovarian endometrioma at the clinical stage and making a comparative study of the treatment results. Methods: In 2018-2019, 63 women aged 20-45 years diagnosed with ovarian endometriosis in the gynecology department of the Obstetrics and Gynecology Hospital of the National Center for Maternal and Child Health were included in the study. A hospital-based clinical prospective case-control study was used. Results: The first group of women received dienogest after surgery for 3 months during which pain during menstruation (p < 0.001), pain during intercourse (p < 0.001), and chronic pelvic pain (p < 0.016) was assessed. The second group of women received dienogest before surgery for 3 months during which pain during menstruation (p < 0.001), pain during intercourse (p < 0.001), and chronic pelvic pain (p < 0.001) was assessed. In this comparative surgical study, in the first group 14 (43.8) had trouble having the endometrioma removed, and in the second group, 23 (74.2%) had no trouble having the endometrioma removed. Conclusion: The use of synthetic progestin before surgical removal of moderate to severe endometriosis with laparoscopy decreases the blood loss during surgery (p < 0.021) and facilitate the removal of the endometrium from the ovary.

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Section: Discussionsupporting

confidence: 83%

Results of Surgical Treatment of Ovarian Endometrioma

Choijiljaw

Sonomjamts

Darmaa

2021

Cent. Asian j. Med. Sci.

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“…Endometrioma drainage followed by ablation of the remaining cyst wall is an alternative procedure that significantly improve pelvic pain but recurrence still a major risk. Laparoscopic cystectomy is the first choice for conservative management of endometrioma [12, 14]. It carries the following benefits; decreases recurrence rates (it ranges from 9.6 to 45% after one surgery), increases spontaneous pregnancy rate (14–54%) & reduces pelvic pain [15–17].…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of a new technique for laparoscopic management of ovarian endometriosis preventing recurrence and keeping ovarian reserve

et al. 2019

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Introduction Laparoscopic cystectomy provides more favourable outcomes as regards the recurrence and subsequent clinical pregnancy rates. It is associated with significant reduction in the ovarian reserve due to the inevitable removal of unaffected ovarian tissue. The aim of our study was to evaluate the efficiency of Surgicel in preventing recurrence of endometriomas after their laparoscopic conservative management (cystectomy or drainage). Material and methods A randomized controlled trial included two hundred women (candidate for conservative laparoscopic management of ovarian endometriomas). They were randomized into four groups; group D in which patients underwent laparoscopic drainage of the endometrioma, group C in which patients underwent laparoscopic cystectomy of the endometrioma, group DS in which patients underwent laparoscopic drainage followed by insertion of Surgicel inside the cyst cavity & group CS in which patients underwent laparoscopic cystectomy of the endometrioma followed by insertion of Surgicel inside the remaining ovarian tissues. All patients were followed up for 2 years & the primary outcome was the recurrence of endometriomas in the ipsilateral ovary & the postoperative ovarian reserve was reassessed as a secondary outcome. Results The Surgicel-treated groups had significantly lower hazard of recurrence compared to untreated groups ( p = 0.004). Group CS had significantly lower hazard of recurrence compared to Group D & C ( p = 0.014, 0.046 respectively). Group DS had significantly lower hazard of recurrence compared to Group D ( p = 0.039) but it not significantly different from Group C ( p = 0.112). Group DS had the lowest drop of AMH and was significantly lower than the other three groups. Conclusion Surgicel reduces effectively the recurrence risk of endometriomas and its use during laparoscopic drainage is an effective alternative for traditional laparoscopic cystectomy with minimal affection of the patient ovarian reserve. Trial registration Name of the registry: clinicaltrials.gov. Trial registration number NCT02947724 . Date of registration October 28, 2016.

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“…drainage has been controversial within the realm of subfertility, with conflicting ideas about whether drainage should be undertaken (32). The procedure can be easily performed under US guidance (either transabdominal or endovaginal depending on the most appropriate window) with minimal distress for the patient.…”

Section: Endometrioma Drainage-endometriomamentioning

confidence: 99%

Subfertility: What the Radiologist Needs to Know

et al. 2017

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The role of imaging in subfertility is well established but is changing. In addition to traditional fertility assessments, there is an emerging role for the radiologist. The role of imaging in fertility-restoring procedures in benign disease and congenital malformations is evolving, and there is a growing need for accurate identification of young candidates suitable for fertility-preserving surgery in the oncologic setting. To facilitate this developing role, knowledge of the key imaging modalities used and potential therapeutic applications is important for accurate diagnosis and interpretation by the radiologist. RSNA, 2017.

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Ovarian cystectomy in endometriomas: Combined approach

Cited by 16 publications

References 31 publications

Results of Surgical Treatment of Ovarian Endometrioma

Results of Surgical Treatment of Ovarian Endometrioma

A randomized controlled trial of a new technique for laparoscopic management of ovarian endometriosis preventing recurrence and keeping ovarian reserve

Subfertility: What the Radiologist Needs to Know

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