Risk factors for recurrent endometrioma after laparoscopic cystectomy

Autor:	Kiwamu Otaka, Akiko Takashima, Mayumi Saito, Tomone Yano, Toshihiko Kinoshita, Yutaka Yasuda, Hideaki Kawashima, Hiroaki Ishida
Rok vydání:	2010
Předmět:	medicine.medical_specialty Prior Surgery Ovarian Endometrioma Laparoscopic cystectomy medicine.diagnostic_test business.industry Endometriosis Controlled ovarian hyperstimulation medicine.disease Surgery medicine Cyst Stage (cooking) Laparoscopy business
Zdroj:	JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY. 26:589-594
ISSN:	1884-5746 1884-9938
DOI:	10.5180/jsgoe.26.589
Popis:	Objective: To identify factors associated with endometrioma recurrence after laparoscopic cystectomy.Design: Prospective observational study.Setting: Toho University Medical Center, Sakura HospitalPatient: Patients (N=153) undergoing laparoscopic cystectomy for ovarian endometrioma, followed postoperatively for two to five years.Intervention: Subjects were grouped by recurrent and nonrecurrent status. Main outcome: Evaluated parameters included endometrioma recurrence, patient age, prior surgery, previous medical treatment, cyst diameter, endometriosis stage and score, percentage of bilateral cysts, presence of multiple cysts, controlled ovarian hyperstimulation, and postoperative pregnancy.Result: Endometrioma recurred postoperatively at a rate of 22.9%. With fertility intact, prior surgery, bilateral cysts, and the presence of multiple cysts were associated with endometrioma recurrence. For infertile patients, older age, the presence of multiple cysts, and controlled ovarian hyperstimulation were identified as risk factors.Conclusion: The ability to effect complete surgical excision of endometrioma may significantly impact the risk of recurrence.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::9fb4c374c929f66432dbd49ce30f2d5c https://doi.org/10.5180/jsgoe.26.589 Zobrazit plný text záznamu