Laser laparoscopic surgery in the treatment of ovarian endometriomas

Sutton, Christopher; Ewen, Simon P.; Jacobs, Susan A.; Whitelaw, Naomi L.

doi:10.1016/s1074-3804(05)80222-1

Cited by 82 publications

(47 citation statements)

References 16 publications

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“…The American College of Obstetricians and Gynecologists Practice Bulletin suggests that the true recurrence rate must be even higher than the rate generally reported in literature, because most publications report symptomatic disease only [11]. Conservative laparoscopic surgery is considered to be the gold standard for the treatment of ovarian endometriosis [12][13][14][15][16][17]. There is general agreement that endometrioma removal increases the likelihood of conception [18,19], and recent evidence shows that both the presence of an endometrioma and its surgical excision may impair ovarian reserve and, therefore, future fertility [20,21], especially after a second operation.…”

Section: Introductionmentioning

confidence: 99%

Oral contraceptives in the prevention of endometrioma recurrence: does the different progestins used make a difference?

Cucinella

Granese²,

Calagna

et al. 2013

Arch Gynecol Obstet

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Objective The primary aim of the study was to analyze the endometrioma recurrence rate in patients who underwent laparoscopic excision followed by postoperative longterm regimen of oral contraceptives (OCs). Materials and methods 168 patients who underwent a conservative laparoscopic surgery for endometrioma, during the period between September 2009 and August 2010 in three university hospitals were studied. A long-term OCs therapy was offered to all women following surgery. Patients were randomly divided into three groups according to different progestins used (desogestrel, gestodene, dienogest). Women who refused a postoperative hormonal therapy served as control. Follow-up visits and transvaginal scan were planned at 1, 3, 6, 12, and 24 months after surgery. All patients who showed an ultrasound persistence of the endometrioma at 1 month follow-up were excluded from clinical analysis.Results Of the 168 patients, 131 completed the 24 months follow-up. Endometrioma recurrence was found in 21 (12.5 %) of all patients, it was unilateral in 17 cases while bilateral in 4 cases. The rate of recurrent endometrioma was statistically significant in non-users compared to the long-term OCs treated patients. Conclusion The current data suggest the usefulness of long-term OCs regimen after conservative surgery for the prevention of ovarian endometrioma recurrence. As a statistical significant difference could not be observed between OCs groups, further study on the individual molecules is required in order to really understand the effect of each of them.

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Section: Introductionmentioning

confidence: 99%

Oral contraceptives in the prevention of endometrioma recurrence: does the different progestins used make a difference?

Cucinella

Granese²,

Calagna

et al. 2013

Arch Gynecol Obstet

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“…Este permite realizar con gran precisión disecciones de tejidos, controlando la profundidad de corte. En ginecología ha demostrado una gran utilidad en la cirugía laparoscópica de endometriosis, sobre todo al requerir la extirpación de zonas afectadas por esta patología en profundidad (9,10).…”

Section: Nuevas Tecnologías En Laparoscopiaunclassified

Desarrollo De La Cirugía Laparoscopica: Pasado, Presente Y Futuro: Desde Hipócrates Hasta La Introducción De La Robótica en Laparoscopia Ginecológica

et al. 2008

Rev. chil. obstet. ginecol.

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RESUMENEntendemos por endoscopia a aquellos procedimientos que permiten diagnosticar y tratar patología por medio de instrumentos con los que se observa el interior del cuerpo humano. Los primeros tratamientos por medio de endoscopia fueron realizados por Hipócrates. Luego a través de la historia son múltiples los precursores, pioneros y tantos otros que entregaron invenciones que permitieron llegar hasta el laparoscopio moderno. Convirtiéndose en una herramienta indispensable en la actual cirugía ginecológica mínimamente invasiva. Las nuevas tecnologías han permitido desarrollar la robótica, de la cual no han permanecido ajenos los procedimientos laparoscópicos. Así es como nace el robot Da Vinci, que más que una tecnología del futuro, ya constituye una realidad del presente en la cirugía laparoscópica ginecológica. PALABRAS CLAVES: Laparoscopia, cirugía mínimamente invasiva, cirugía robótica, Da Vinci SUMMARYWe understand by endoscope to those procedures that allow diagnosing and treated pathologies by means of instruments with which we observed in the interior of the human body. The first treatments by means of endoscope were made by Hipocrates. Soon through history the precursors, pioneers and so many others are multiple that gave inventions that allowed arriving until modern laparoscopy; becoming an indispensable tool in the present minimally invasive gynecological surgery. The new technologies have allowed developing the robotics technologies of which the laparoscopy procedures have not remained out. Thus the Da Vinci robot has born, who more than a technology of the future already constitutes a reality of the present in the gynecological laparoscopic surgery.

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“…Bei 50-70% aller Endometriosepatientinnen findet sich eine Beteiligung der Ovarien ( [11][12][13][14][15][16][17][18]; . Abb.…”

Section: Ovarialendometrioseunclassified

Operative Therapie der Endometriose

2007

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Laser laparoscopic surgery in the treatment of ovarian endometriomas

Cited by 82 publications

References 16 publications

Oral contraceptives in the prevention of endometrioma recurrence: does the different progestins used make a difference?

Oral contraceptives in the prevention of endometrioma recurrence: does the different progestins used make a difference?

Desarrollo De La Cirugía Laparoscopica: Pasado, Presente Y Futuro: Desde Hipócrates Hasta La Introducción De La Robótica en Laparoscopia Ginecológica

Operative Therapie der Endometriose

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