Ultrasound-Guided Interventional Therapy for Recurrent Ovarian Chocolate Cysts

Wang, Lulu; Xiao, Dong; Shao, Xiaotong; Wang, Siming

doi:10.1016/j.ultrasmedbio.2011.07.004

Cited by 30 publications

(35 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mesogitis et al, (2005) reported disappearance of the simple ovarian cysts after in situ methotrexate injection was achieved in 124 of 148 patients (83.8%) [14]. Many studies compared cyst aspiration alone and aspiration with injection of ehanol [4], tetracycline [15] [16], and SC injection of GnRH antagonists [17] with comparable results to methotrexate in-situ injection [18] [19].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Intra-Cystic Methotrexate Injection in Management of Benign Persistent Ovarian Cysts

Gergawy¹,

Halwagy²,

Dawood³

et al. 2017

OJOG

View full text Add to dashboard Cite

Aim: To evaluate and compare the efficacy of methotrexate injection in management of persistent simple ovarian cyst versus the use of transvaginal ultrasound aspiration alone. Patients and Methods: This randomized controlled study was conducted at Tanta University Hospitals in the period from April 1, 2016 to October 31, 2016. Patients were randomly allocated into two groups; each group has 25 patients with benign persistent simple ovarian cyst. Group I: Patients were subjected to transvaginal aspiration of the cyst. Group II: patients were subjected to methotrexate injection inside the cyst. Patients in both group were followed up at 1, 3, 6 months after procedure for the recurrence and occurrence spontaneous pregnancy. Results: The mean age in group I was 28.8 years, and the mean age in group II was 26.52 years with non-significant difference. Also there was non-significant difference between both groups regarding size of the cyst. No case recorded to have a cyst recurrence in group II and four cases in group I within six months with significant difference (P value 0.037), and there was non-significant differences as regard the pregnancy rate and complications. Conclusion: Transvaginal intra-cystic methotrexate injection is a safe and effective choice for management of persistent simple benign ovarian cyst.

show abstract

Section: Discussionmentioning

confidence: 99%

Efficacy of Intra-Cystic Methotrexate Injection in Management of Benign Persistent Ovarian Cysts

Gergawy¹,

Halwagy²,

Dawood³

et al. 2017

OJOG

View full text Add to dashboard Cite

show abstract

“…The malignancy was excluded based on the clinical diagnosis and laboratory tests. After a routine gynecological disinfection, the cyst was punctured under ultrasound guidance using a PTC needle as described previously [15,18,21]. The cystic fluid was aspirated and the cyst was repeatedly washed with saline.…”

Section: Ultrasound-guided Ethanol Sclerotherapymentioning

confidence: 99%

“…ACCEPTED MANUSCRIPT 15 Ultrasound-guided ethanol sclerotherapy is more effective way to treat ovarian endometriomas than drug therapy or laparoscopic surgery [15]. down-regulated genes not only showed GO terms that were strongly associated with the pathogenesis of ovarian endometriomas, but also exerted their functions through 13 signalling pathways.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Ultrasound-guided ethanol sclerotherapy, an minimally invasive technology, has been increasingly recognized by clinicians as a reliable surgical alternative for treating ovarian endometriomas with many advantages, including minimal trauma, fewer risks and complication, lower costs and decreased recurrence rates in recent years [15,16]. Under ultrasound guidance, there are three key procedures of the therapy which consist of the cystic fluid A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT 5 aspiration, saline washings and 95% ethanol retention.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Differentially expressed gene profiles in the serum before and after the ultrasound-guided ethanol sclerotherapy in patients with ovarian endometriomas

Wang

Cai

Xiao

et al. 2015

Clinical Biochemistry

Self Cite

View full text Add to dashboard Cite

“…More recently, Wang et al [63] reported a 96% cure rate following USS-guided aspiration and sclerotherapy with 95% ethanol for recurrent endometriomata and Zhu et al [64] demonstrated that repeated aspiration reduced the recurrence rate to 5.4% at months after a mean of 3.1 aspirations with an overall pregnancy rate of 43.4%. Neither group reported any major complications in their patients, but a recent study on an animal model of endometrioma aspiration and ethanol sclerotherapy raised the concern of a reduction in the ovarian reserve following the treatment [65].…”

Section: Ultrasound-guided Drainage and Sclerotherapymentioning

confidence: 99%

Review of the management of ovarian endometriosis

Psaroudakis

Hirsch

Davis

2014

Current Opinion in Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Consensus from Europe and the USA is for a conservative approach to the treatment of ovarian endometriosis, with early recourse to assisted reproductive technology for subfertility. Surgery is currently only being advised for severe pain or difficult access to growing follicles and only after careful counselling regarding the potential adverse effect on ovarian reserve. Research has still not identified the optimal technique for treating ovarian endometriosis. Laparoscopic ovarian cystectomy not only offers the lowest risk of recurrence and the highest chance of spontaneous pregnancy rate, but also risks significant injury to ovarian function. Medical treatment offers temporary symptom relief but does not improve the fertility outcomes, and the role of ultrasound-guided drainage remains to be established.

show abstract

Ultrasound-Guided Interventional Therapy for Recurrent Ovarian Chocolate Cysts

Cited by 30 publications

References 25 publications

Efficacy of Intra-Cystic Methotrexate Injection in Management of Benign Persistent Ovarian Cysts

Efficacy of Intra-Cystic Methotrexate Injection in Management of Benign Persistent Ovarian Cysts

Differentially expressed gene profiles in the serum before and after the ultrasound-guided ethanol sclerotherapy in patients with ovarian endometriomas

Review of the management of ovarian endometriosis

Contact Info

Product

Resources

About