| Autor: |
Seraji S; Department of Minimally Invasive Gynecologic Surgery, NYU Langone Hospital Long Island, Mineola, NY 11501, USA., Ali A; Department of Minimally Invasive Gynecologic Surgery, NYU Langone Hospital Long Island, Mineola, NY 11501, USA., Demirel E; Department of Minimally Invasive Gynecologic Surgery, NYU Langone Hospital Long Island, Mineola, NY 11501, USA., Akerman M; Department of Minimally Invasive Gynecologic Surgery, NYU Langone Hospital Long Island, Mineola, NY 11501, USA., Nezhat C; Center for Special Minimally Invasive and Robotic Surgery, Camran Nezhat Institute, Woodside, CA 94061, USA.; Stanford University Medical Center, Palo Alto, CA 94305, USA.; University of California San Francisco Medical Center, San Francisco, CA 94143, USA., Nezhat FR; Department of Minimally Invasive Gynecologic Surgery, NYU Langone Hospital Long Island, Mineola, NY 11501, USA.; Nezhat Surgery for Gynecology/Oncology, Valley Stream, NY 11581, USA.; Department of Obstetrics and Gynecology, New York Presbyterian/Weill Cornell Medical Center, New York, NY 10065, USA. |
| Abstrakt: |
Objectives : To determine the association between ovarian endometriomas and stage of endometriosis. Methods: A total of 222 women aged 18-55 years old, who underwent minimally invasive surgery between January 2016 and December 2021 for treatment of endometriosis were included in the study. Patients underwent laparoscopic and/or robotic treatment of endometriosis by a single surgeon (FRN) and were staged using the ASRM revised classification of endometriosis. Pre-operative imaging studies, and operative and pathology reports were reviewed for the presence of endometriomas and the final stage of endometriosis. Using univariate analyses for categorical variables and the two-sample t -test or Mann-Whitney test for continuous data, association between endometriomas, stage of endometriosis, type of endometrioma, and other patient parameters such as age, gravidity, parity, laterality of endometriomas, prior medical treatment, and indication for surgery was analyzed. Results: Of the 222 patients included in the study, 86 patients had endometrioma(s) and were found to have stage III-IV disease. All 36 patients with bilateral endometriomas and 70% of patients with unilateral endometriomas had stage IV disease. Conclusions : The presence of ovarian endometrioma(s) indicates a higher stage of disease, correlating most often with stage IV endometriosis. Understanding the association between endometriomas and anticipated stage of disease can aid in appropriate pre-operative planning and patient counseling. |
