Laparoscopic excision of ovarian cysts: is the stripping technique a tissue-sparing procedure?

Abstract:

OBJECTIVE:To determine whether the stripping technique by laparoscopy is a tissue-sparing procedure. DESIGN:Prospective study. SETTING:University hospital. PATIENT(S):Forty-two women, 21 to 35 years of age, who had a unilateral ovarian cyst (26 endometriomas, 7 serous, 6 dermoid, and 3 mucinous cysts). INTERVENTION(S):Laparoscopic excision of ovarian cysts by using the stripping technique. MAIN OUTCOME MEASURE(S):Histologic analysis of the excised specimens was done to evaluate the presence and nature of ovarian tissue adjacent to the cyst wall. RESULT(S):Recognizable ovarian tissue adjacent to the cyst wall was present in 15 of 42 excised specimens (36%). A significant difference was present for endometriomas versus non-endometriosis cysts (ovarian tissue was present in 14 of 26 specimens [54%] vs. 1 of 16 specimens [6%]; P<.005). No specimen showed the normal follicular pattern observed in healthy ovaries. CONCLUSION(S):The stripping technique appears to be a tissue-sparing procedure. In 36% of the cysts, ovarian tissue is excised together with the cyst wall, but this tissue does not show the morphologic characteristics observed in normal ovarian tissue.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Muzii L,Bianchi A,Crocè C,Manci N,Panici PB

doi

10.1016/s0015-0282(01)03203-4

keywords:

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

609-14

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015028201032034

journal_volume

77

pub_type

临床试验,杂志文章
  • Patient satisfaction and clinical outcome after injecting gonadotropins with use of a needle-free carbon dioxide injection system for controlled ovarian hyperstimulation for in vitro fertilization.

    abstract::In this prospective, randomized clinical trial, we tested the hypothesis that a needle-free CO(2) injection system (Biojector 2000) would be better tolerated by patients when compared with traditional sharp needles used for gonadotropin injections during stimulation for IVF. As measured by our questionnaire, the needl...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.fertnstert.2009.03.013

    authors: Solnica A,Oh C,Cho MM,Loughlin JS,McCulloh DH,McGovern PG

    更新日期:2009-10-01 00:00:00

  • Does the level of serum antimüllerian hormone predict ovulatory function in women with polycystic ovary syndrome with aging?

    abstract:OBJECTIVE:To determine possible prediction of regular menses with aging in anovulatory women with polycystic ovary syndrome (PCOS). DESIGN:Cohort. SETTING:Academic practice. PATIENT(S):A total of 54 anovulatory women with PCOS and 28 age- and weight-matched control subjects. INTERVENTION(S):Blood and ovarian ultras...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2012.06.017

    authors: Carmina E,Campagna AM,Mansuet P,Vitale G,Kort D,Lobo R

    更新日期:2012-10-01 00:00:00

  • Treatment-independent pregnancy after in vitro fertilization and embryo transfer trial.

    abstract::This study indicates that SP occur in a higher percentage than theoretically expected after IVE-ET treatment, but it is not conclusive as to whether the SP is independent or a result of the treatment or operative laparoscopy. Our results are in agreement with those of previous studies that have shown that SP occur wit...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)49289-7

    authors: Ben-Rafael Z,Mashiach S,Dor J,Rudak E,Goldman B

    更新日期:1986-04-01 00:00:00

  • Serum concentrations of interleukin-2R (IL-2R), IL-6, IL-8, and tumor necrosis factor alpha in patients with ectopic pregnancy.

    abstract:OBJECTIVE:To investigate the diagnostic relevance of serum cytokine concentrations in ectopic pregnancy (EP). DESIGN:Cohort study. SETTING:University hospital. PATIENT(S):Seventeen women with EP, 22 women with miscarriage, and 33 women with normal intrauterine pregnancy, at comparable stages of gestation. INTERVENT...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(02)04853-7

    authors: Soriano D,Hugol D,Quang NT,Darai E

    更新日期:2003-04-01 00:00:00

  • Timing luteal support in assisted reproductive technology: a systematic review.

    abstract:OBJECTIVE:To summarize the available published randomized controlled trial data regarding timing of P supplementation during the luteal phase of patients undergoing assisted reproductive technology (ART). DESIGN:A systematic review. SETTING:Not applicable. PATIENT(S):Undergoing IVF. INTERVENTION(S):Different starti...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/j.fertnstert.2014.12.125

    authors: Connell MT,Szatkowski JM,Terry N,DeCherney AH,Propst AM,Hill MJ

    更新日期:2015-04-01 00:00:00

  • Hysteroscopic cannulation and lavage in the treatment of proximal tubal occlusion.

    abstract::In two patients with apparent PTO, as diagnosed by HSG and laparoscopy, tubal patency was restored by hysteroscopic cannulation of the tubal ostia, followed by direct lavage. Tubal resection and reanastomosis/reimplantation may not be necessary for all patients with apparent PTO. ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Sulak PJ,Letterie GS,Hayslip CC,Coddington CC,Klein TA

    更新日期:1987-09-01 00:00:00

  • The effect of insulin and insulin-like growth factors on the expression of steroidogenic enzymes in a human ovarian thecal-like tumor cell model.

    abstract:OBJECTIVE:To determine the effects of insulin and insulin-like growth factors (IGF-I and IGF-II) on steroidogenesis and steroidogenic enzyme expression in a human ovarian thecal-like tumor cell culture model system. DESIGN:Human ovarian thecal-like tumor cells treated with forskolin and insulin IGF-I or IGF-II were ev...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)58032-7

    authors: McGee EA,Sawetawan C,Bird I,Rainey WE,Carr BR

    更新日期:1996-01-01 00:00:00

  • Fertilization after standard in vitro fertilization versus intracytoplasmic sperm injection in subfertile males using sibling oocytes.

    abstract:OBJECTIVE:To compare conventional IVF with ICSI in the subfertile male population using sibling oocytes. Results from males with isolated severe teratozoospermia also are analyzed. DESIGN:Prospective experimental study. SETTING:University based IVF clinic. PATIENT(S):Group A: 18 patients with one or more abnormaliti...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0015-0282(98)00538-x

    authors: Pisarska MD,Casson PR,Cisneros PL,Lamb DJ,Lipshultz LI,Buster JE,Carson SA

    更新日期:1999-04-01 00:00:00

  • Diagnosis and prevalence of persistent chlamydia infection in infertile women: tissue culture, direct antigen detection, and serology.

    abstract::Specimens for chlamydial culture, direct fluorescent antibody (DFA) test, two enzyme immunoassays (EIA) for antigen detection, and serum for chlamydial antibodies were collected from 256 infertile women. Specimens were taken from the tubes during tuboplasty and from the cervix and endometrium during laparoscopy or tub...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Thejls H,Gnarpe J,Lundkvist O,Heimer G,Larsson G,Victor A

    更新日期:1991-02-01 00:00:00

  • Hypoestrogenic "inactive phases" at the start of the menstrual cycle: changes with age and reproductive stage, and relationship to follicular depletion.

    abstract:OBJECTIVE:To investigate hypoestrogenic "inactive phases" (IP) in the follicular phase of the menstrual cycle, with respect to age, reproductive stage, and follicular depletion. DESIGN:Analysis of prospectively collected menstrual bleed and estrone-3-glucuronide data. SETTING:Center for Population and Health, Georget...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2012.07.1101

    authors: Ferrell RJ,Rodríguez G,Holman D,O'Connor K,Wood JW,Weinstein M

    更新日期:2012-11-01 00:00:00

  • The development of cytotoxicity in peritoneal macrophages from women with endometriosis.

    abstract:OBJECTIVE:To assess the activation status of peritoneal macrophages from women with endometriosis. DESIGN:Peritoneal macrophages from patients undergoing laparoscopy were tested for cytotoxic activity against a cultured hepatoma cell line. SETTING:Patients were tested at initial laparoscopy or at the completion of th...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:

    authors: Braun DP,Gebel H,Rotman C,Rana N,Dmowski WP

    更新日期:1992-06-01 00:00:00

  • The response of patients with polycystic ovarian disease to human menopausal gonadotropin therapy after ovarian electrocautery or a luteinizing hormone-releasing hormone agonist.

    abstract:OBJECTIVE:To compare the effect of ovarian electrocautery versus an intranasal (IN) luteinizing hormone-releasing hormone agonist (LH-RH-a) in the response of patients with polycystic ovarian disease (PCOD) to human menopausal gonadotropin (hMG) therapy. DESIGN:A prospective study with serial randomization of patients...

    journal_title:Fertility and sterility

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0015-0282(16)54836-5

    authors: Gadir AA,Alnaser HM,Mowafi RS,Shaw RW

    更新日期:1992-02-01 00:00:00

  • Occult abnormal pregnancies after first post-embryo transfer serum beta-human chorionic gonadotropin levels of 1.0-5.0 mIU/mL.

    abstract:OBJECTIVE:To assess the occult pregnancy rate after "negative" first post-embryo transfer (ET) serum β-hCG results. DESIGN:Two-part retrospective cohort study and nested case series. SETTING:University-based fertility center. PATIENT(S):A total of 1,571 negative first post-ET serum β-hCG results were included in the...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2015.11.049

    authors: Maslow BS,Bartolucci A,Sueldo C,Engmann L,Benadiva C,Nulsen JC 3rd

    更新日期:2016-04-01 00:00:00

  • Precarious preoperative diagnostics and hints for the laparoscopic excision of uterine adenomatoid tumors: two exemplary cases and literature review.

    abstract:OBJECTIVE:To present two exemplary cases of adenomatoid tumors. DESIGN:Case report. SETTING:Two laparoscopic centers in Germany. PATIENT(S):Two women of reproductive age with uterine adenomatoid tumors. INTERVENTION(S):Laparoscopic tumor excision. MAIN OUTCOME MEASURE(S):Differential diagnostics of uterine masses....

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/j.fertnstert.2010.10.017

    authors: Alkatout I,Bojahr B,Dittmann L,Warneke V,Mettler L,Jonat W,Schollmeyer T

    更新日期:2011-03-01 00:00:00

  • Classic congenital adrenal hyperplasia and its impact on reproduction.

    abstract::Women with classic congenital adrenal hyperplasia (CAH) can suffer from impaired fertility rates as a result of increased androgen secretion or impaired sex steroid production. In virilizing CAH forms, such as 21-hydroxylase and 11β-hydroxylase deficiency, the low reported pregnancy rate is mainly secondary to a dimin...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/j.fertnstert.2018.11.037

    authors: Gomes LG,Bachega TASS,Mendonca BB

    更新日期:2019-01-01 00:00:00

  • Consecutive cervical pregnancies.

    abstract:OBJECTIVE:Report of a rare case of consecutive spontaneous cervical pregnancies. DESIGN:Case study. SETTING:Teaching hospital. PATIENT(S):One healthy nulliparous woman in the early years of her fourth decade. INTERVENTION(S):The first of two cervical pregnancies was treated with two doses of methotrexate and subseq...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2003.06.012

    authors: Radpour CJ,Keenan JA

    更新日期:2004-01-01 00:00:00

  • Fertility, pregnancy, and medical management of Turner syndrome in the reproductive years.

    abstract::Turner syndrome results in infertility in most cases. Fertility preservation through the cryopreservation of oocytes or ovarian tissue may be an option for some girls with Turner syndrome. Oocyte donation results in high pregnancy rates (PR). Those women who plan to pursue pregnancy need comprehensive screening and co...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/j.fertnstert.2012.08.022

    authors: Karnis MF

    更新日期:2012-10-01 00:00:00

  • Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery.

    abstract::Postoperative adhesions are a natural consequence of surgical tissue trauma and healing and may result in infertility, pain, and bowel obstruction. Adherence to microsurgical principles, minimally invasive surgery, and use of some peritoneal instillates may help to decrease postoperative adhesions. Some surgical barri...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,评审

    doi:10.1016/j.fertnstert.2007.04.066

    authors: Practice Committee of the American Society for Reproductive Medicine.,Society of Reproductive Surgeons.

    更新日期:2007-07-01 00:00:00

  • Effect of chilling on the organization of tubulin and chromosomes in rhesus monkey oocytes.

    abstract:OBJECTIVE:To determine the effects of chilling on the organization and distribution of tubulin and chromosomes in rhesus monkey oocytes. DESIGN:Comparative laboratory study. SETTING:Academic research laboratory. ANIMAL(S):Eight adult female rhesus monkeys (Macaca mulatta) aged 6-16 years. INTERVENTION(S):A total of...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(01)03240-x

    authors: Songsasen N,Yu IJ,Ratterree MS,VandeVoort CA,Leibo SP

    更新日期:2002-04-01 00:00:00

  • Low fertility awareness in United States reproductive-aged women and medical trainees: creation and validation of the Fertility & Infertility Treatment Knowledge Score (FIT-KS).

    abstract:OBJECTIVE:To create, validate, and use a fertility awareness survey based on current U.S. DATA: DESIGN:Cross-sectional study. SETTING:Not applicable. PATIENT(S):Phase 1 included U.S. women ages 18-45; phase 2 included female medical students and obstetrics and gynecology trainees at two urban academic programs. IN...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2017.07.1158

    authors: Kudesia R,Chernyak E,McAvey B

    更新日期:2017-10-01 00:00:00

  • Significance of inhibin B and anti-Müllerian hormone in seminal plasma: a preliminary study.

    abstract:OBJECTIVE:To evaluate the predictive value of seminal inhibin B and anti-Müllerian hormone (AMH) on the outcome of testicular sperm extraction (TESE) in patients with nonobstructive azoospermia. DESIGN:Prospective study. SETTING:Reproductive biology department. PATIENT(S):Forty-seven normospermic, 28 oligozoospermic...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2007.03.032

    authors: Duvilla E,Lejeune H,Trombert-Paviot B,Gentil-Perret A,Tostain J,Levy R

    更新日期:2008-02-01 00:00:00

  • Effect of T-shaped progesterone-releasing system on contraceptive efficacy and menstrual cycle regularity in Japanese monkeys.

    abstract::Twenty-seven sexually mature Japanese monkeys (Macaca fuscata fuscata) weighing 6 to 8 kg were used to evaluate and characterize the local and systemic effects of a T-shaped progesterone-releasing system (UTS) following transabdominal insertion into the uterus. None of five experimental animals conceived, while four o...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)41842-x

    authors: Oshima K,Hayashi M,Kato J

    更新日期:1976-05-01 00:00:00

  • Changes in blood-flow impedance of the human corpus luteum throughout the luteal phase and during early pregnancy.

    abstract:OBJECTIVE:To examine changes in blood flow in the corpus luteum throughout the luteal phase and during early pregnancy. DESIGN:Longitudinal and cross-sectional prospective studies. SETTING:University hospital and city general hospital. PATIENT(S):Sixty-one women with normal menstrual cycles and normal luteal functio...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.fertnstert.2007.10.056

    authors: Tamura H,Takasaki A,Taniguchi K,Matsuoka A,Shimamura K,Sugino N

    更新日期:2008-12-01 00:00:00

  • Introduction: Obesity and reproduction.

    abstract::Women bear the predominant burden of our obesogenic environment, with a higher incidence of obesity than men, more impact on their fertility and success with treatment, and significant maternal and perinatal morbidity and mortality. In this series, the causes, consequences, and solutions regarding the obesity pandemic...

    journal_title:Fertility and sterility

    pub_type:

    doi:10.1016/j.fertnstert.2017.02.110

    authors: Meldrum DR

    更新日期:2017-04-01 00:00:00

  • Synchronous regulation of the determinants of endometrial receptivity to interleukin 1 at key stages of early embryo implantation in vivo.

    abstract:OBJECTIVE:To investigate the expression kinetics of interleukin-1 receptors (IL-1R), receptor antagonist (IL-1RN), and monocyte chemotactic protein 1 (MCP-1) throughout early gestation in mice. DESIGN:Assessment of IL-1R, IL-1RN, and MCP-1 throughout early pregnancy. SETTING:Reproduction laboratory. ANIMAL(S):B6C3F1...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2014.01.011

    authors: Bourdiec A,Martel V,Akoum A

    更新日期:2014-04-01 00:00:00

  • Relation between indices of semen analysis and pregnancy rate in infertile couples.

    abstract::Both partners of 198 consecutive infertile couples were evaluated. Studies in the female included clinical evaluation of ovulation for a minimum of two menstrual cycles, investigation of tubal patency, and evaluation of sperm survival in cervical mucus. Six semen specimens were analyzed from each male. Laparoscopy, sc...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)42976-6

    authors: Smith KD,Rodriguez-Rigau LJ,Steinberger E

    更新日期:1977-12-01 00:00:00

  • Impact of laparoscopic cystectomy on ovarian reserve: serial changes of serum anti-Müllerian hormone levels.

    abstract:OBJECTIVE:To evaluate the ovarian reserve changes after laparoscopic cystectomy, we prospectively evaluated pre- and postoperative serum anti-Müllerian hormone (AMH) level, and ovarian volumes. DESIGN:Prospective longitudinal study. SETTING:University Hospital. PATIENT(S):Twenty women with benign ovarian masses part...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2009.02.022

    authors: Chang HJ,Han SH,Lee JR,Jee BC,Lee BI,Suh CS,Kim SH

    更新日期:2010-06-01 00:00:00

  • Preferences for fertility in women with pelvic inflammatory disease.

    abstract:OBJECTIVE:To identify the value that women with pelvic inflammatory disease (PID) assign to the health impact of future infertility. DESIGN:Cross-sectional observations on patient preferences. SETTING:Participants in an existing multicenter clinical trial of PID treatment options. PATIENT(S):Five hundred thirty-two ...

    journal_title:Fertility and sterility

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.fertnstert.2003.09.064

    authors: Songer TJ,Lave JR,Kamlet MS,Frederick S,Ness RB,Pelvic Inflammatory Disease Evaluation and Clinical Health (PEACH) Study.

    更新日期:2004-05-01 00:00:00

  • Specific antibodies to porcine zona pellucida detected by quantitative radioimmunoassay in both fertile and infertile women.

    abstract::The specific radioimmunoassay system was developed for the titration of the antibodies to porcine zona pellucida (ZP) in human sera by using 125I-labeled purified porcine ZP as antigen, which is known to have cross-reactivity with human ZP. The antibodies in human sera were detected in 3 of 11 (27%) women with unexpla...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/s0015-0282(16)47602-8

    authors: Kurachi H,Wakimoto H,Sakumoto T,Aono T,Kurachi K

    更新日期:1984-02-01 00:00:00

  • Professional self-regulation for preimplantation genetic diagnosis: experience of the American Society for Reproductive Medicine and other professional societies.

    abstract::Professional societies that are stakeholders in preimplantation genetic diagnosis have democratically elected officers and favor self-regulation. Their practice guidelines are cognizant of societal needs and allow for introduction of new technologies. These societies have demonstrated the ability for professional self...

    journal_title:Fertility and sterility

    pub_type: 杂志文章

    doi:10.1016/j.fertnstert.2006.02.072

    authors: Simpson JL,Rebar RW,Carson SA

    更新日期:2006-06-01 00:00:00