Recurrence Rate after "One-Step" CO2 Fiber Laser Vaporization versus Cystectomy for Ovarian Endometrioma: A 3-Year Follow-up Study

Journal of Minimally Invasive Gynecology
Massimo CandianiStefano Ferrari

Abstract

To assess postoperative recurrence rates in patients with endometriomas managed by either "one-step" CO2 fiber laser vaporization or cystectomy. Retrospective study with prospective recording of data. University hospital. One hundred twenty-five patients with symptomatic endometriomas. Patients underwent a standardized laparoscopic stripping technique (group 1) or cyst vaporization with CO2 fiber laser (group 2). After surgery, patients were incorporated in a prolonged surveillance program with periodic clinical follow-up to check for recurrence of the cyst and/or recurrence of symptoms. Endometrioma recurrence was defined as an ovarian cyst (>10 mm) with a typical aspect arising on the operated ovary identified by transvaginal ultrasound. The primary endpoint was the comparison of recurrence rates between the 2 groups. The secondary endpoint was the evaluation of endometriosis-related pain recurrence in the 2 groups. Other endpoints selected for analysis included the identification of risk factors for the recurrence of endometrioma and of endometriosis-related symptoms. The mean follow-up was 29 ± 13 months (range, 13-49). Recurrence of ovarian endometriosis was recorded in 6.3% of patients (n = 4) treated with cystectomy and ...Continue Reading

Citations

Jul 28, 2020·Journal of Minimally Invasive Gynecology·Massimo CandianiJessica Ottolina
Jan 28, 2021·Journal of Clinical Medicine·Ana Sofia PaisMichelle Nisolle
May 20, 2021·Minerva Obstetrics and Gynecology·Maurizio N D'AlterioStefano Angioni

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