Ovarian cystectomy versus laser vaporization in the treatment of ovarian endometriomas: a randomized clinical trial with a five-year follow-up  

Oleh:

Carmona, Francisco ; Martínez-Zamora, M. Angeles ; Rabanal, Aintzane ; Martinez-Roman, Sergio ; Balasch, Juan

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 96 no. 01 (Jul. 2011), page 251-254.
Topik: Ovarian endometrioma; laparoscopic surgery; endometriosis; cystectomy; laser vaporization; ovarian reserve; recurrence

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To investigate the effect of two laparoscopic techniques for treatment of ovarian endometriomas on recurrence rate. Design Prospective randomized clinical trial. Setting University teaching hospital. Patient(s) Ninety women with ovarian endometriomas. Intervention(s) Patients were randomly selected to undergo either laparoscopic cystectomy (group 1) or laser vaporization (group 2) of ovarian endometrioma. Main Outcome Measure(s) Recurrence, evaluated by ultrasound scan examination, was assessed at 12 and 60 months of follow-up. Result(s) Endometrioma recurrence rate was higher, though not significantly different, in group 2 at 60 months of follow-up. Nevertheless, at 12 months of follow-up recurrences were statistically higher in group 2. Conclusion(s) The comparison between laparoscopic laser ablation and laparoscopic cystectomy for ovarian endometriomas after long-term follow-up showed earlier recurrences and a higher recurrence rate in the laser group, although at 5 years of follow-up there were no statistically significant differences.

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