Laparoscopic stripping of endometriomas: a randomized trial on different surgical techniques. Part I: Clinical results
| Autor: | Francesco Plotti, Roberto Angioli, Filippo Bellati, Pierluigi Benedetti Panici, Marzio Angelo Zullo, Natalina Manci, Ludovico Muzii, Innocenza Palaia |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Pathology Time Factors Endometriosis Adhesion (medicine) Ovary Biology randomized trial medicine Humans Single-Blind Method Cyst Ovarian Diseases Prospective Studies Ovarian follicle Ovarian reserve ovarian surgery endometrioma Rehabilitation Obstetrics and Gynecology endometriosis laparoscopy Histology medicine.disease Ovarian Hilus Surgery medicine.anatomical_structure Reproductive Medicine Female Laparoscopy |
| Zdroj: | Human Reproduction. 20:1981-1986 |
| ISSN: | 1460-2350 0268-1161 |
| Popis: | BACKGROUND: The stripping technique for endometriomas excision has been reported to be associated with follicular loss. The objective of this trial was to evaluate the presence and nature of ovarian tissue adjacent to the endometrioma cyst wall obtained by stripping with different techniques. METHODS: Forty-eight patients with ovarian endometrioma were enrolled in two consecutive independent randomized trials. Two different techniques were analysed at the initial adhesion site (circular excision and subsequent stripping versus immediate stripping). Two different techniques were analysed at the ovarian hilus (stripping versus coagulation and cutting). Histology analysis was performed in three portions of the cyst wall (initial adhesion site, intermediate part of the specimen, ovarian hilus). RESULTS: Recognizable ovarian tissue was inadvertently excised together with the endometrioma cyst wall in most cases. At initial adhesion sites more ovarian tissue was removed with the circular excision technique ( |
| Databáze: | OpenAIRE |
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