Combined technique of excision and ablation for the surgical treatment of ovarian endometriomas: the way forward?

Abstract:

:Surgical treatment of ovarian endometriosis has been associated with damage to the ovarian tissue and premature ovarian failure in young patients. A modified surgical technique that combines cyst excision with ablation for the surgical treatment of ovarian endometriomas is presented, with the aim of reducing possible damage to the ovarian tissue without jeopardizing the results of surgery in terms of subsequent pregnancies and symptom relief. The modified technique is a combination of the excision technique, adopted for most of the procedure, with the coagulation technique, adopted at the ovarian hilus to better preserve normal ovarian tissue and vascularization of the ovary. Postoperative follow-up of patients operated on with this modified technique indicates that the technique is feasible and safe, with no apparent damage to the ovary.

journal_name

Reprod Biomed Online

authors

Muzii L,Panici PB

doi

10.1016/j.rbmo.2009.11.014

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

300-2

issue

2

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(09)00227-2

journal_volume

20

pub_type

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